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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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1356064513
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 :
Provider Business Practice Location Address
First Line : 9750 HILLWOOD PKWY
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-1507
Country : US
Telephone Number : 817-697-5640
Fax Number : 682-593-8125
Authorized Official
Title or Position : SR. REVENUE CYCLE MANAGER
Name : TODD KEVIN BIVONA
Credential :
Telephone Number : 972-997-8103
Provider Enumeration Date : 09/22/2022
Last Update Date : 01/16/2024

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Directions to “ONCOLOGY PHARMACY SERVICES, INC ” Practice Location

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