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NPI Code Detail

MEDICARE: ONCOLOGY PHARMACY SERVICES, INC.

MEDICARE: ONCOLOGY PHARMACY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy22498TX
23336C0003XCommunity/Retail Pharmacy
33336S0011XSpecialty Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1320137OTHERTXTX VENDOR DRUG
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
322498OTHERTXCLASS A LICENSE
44528747OTHERTXNCPDP

General Provider Information

NPI Number : 1215973797
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONCOLOGY PHARMACY SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 731145
Second Line :
City : DALLAS
State : TX
Zip : 75373-1145
Country : US
Telephone Number : 972-997-8103
Fax Number : 469-467-2535
Provider Business Practice Location Address
First Line : 2121 PEASE ST
Second Line : SUITE 101
City : HARLINGEN
State : TX
Zip : 78550-8321
Country : US
Telephone Number : 956-364-6735
Fax Number : 956-364-6786
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : J. ERNEST SIMS
Credential :
Telephone Number : 972-490-2912
Provider Enumeration Date : 06/21/2006
Last Update Date : 01/16/2024

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Directions to “ONCOLOGY PHARMACY SERVICES, INC. ” Practice Location

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