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General NPI Number Information
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NPI Number | 1265740336
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Entity Type | Organization
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Legal Business Name | ONCOLOGY PHARMACY SERVICES, INC.
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 901 W 38TH ST SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78705-1163
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Country | US
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Telephone | 512-421-4188
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 731145
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City | DALLAS
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State | TX
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Zip | 75373-1145
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Country | US
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Telephone | 972-997-8103
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Fax | 469-467-2535
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOHN ERNEST SIMS
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Credential |
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Telephone | 972-490-2910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 22742
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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