MEDICARE: ONCOLOGY HEMATOLOGY CARE PHARMACY, LLC

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
1	3336S0011X	Specialty Pharmacy	0212640001884	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144437112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONCOLOGY HEMATOLOGY CARE PHARMACY, LLC

Provider Business Mailing Address
First Line	:	4725 E GALBRAITH RD STE 320
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2797
Country	:	US
Telephone Number	:	513-793-6052
Fax Number	:	513-793-6290

Provider Business Practice Location Address
First Line	:	4725 E GALBRAITH RD STE 320
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2797
Country	:	US
Telephone Number	:	513-793-6052
Fax Number	:	513-793-6290

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD L LEVY
Credential	:	MD
Telephone Number	:	513-751-2145

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/22/2020

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