=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548695901
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONCOLOGY SPECIALTIES, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2013
-----------------------------------------------------
Last Update Date | 09/04/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3601 CCI DR NW
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35805-2606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-327-5900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3601 CCI DR NW
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35805-2606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-327-5900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST IN CHARGE
-----------------------------------------------------
Name | DR. TODD MURPHREE
-----------------------------------------------------
Credential | PHARM.D.
-----------------------------------------------------
Telephone | 256-327-5900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336S0011X
-----------------------------------------------------
Taxonomy Name | Specialty Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------