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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
1333600000XPharmacy24121TX
23336C0003XCommunity/Retail Pharmacy
33336S0011XSpecialty Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1145645OTHERTXTX VENDOR DRUG
24536376OTHERTXNCPDP
324121OTHERTXCLASS A LICENSE

General Provider Information

NPI Number : 1669494027
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 : 4708 ALLIANCE BLVD
Second Line : #150
City : PLANO
State : TX
Zip : 75093-5339
Country : US
Telephone Number : 469-467-4348
Fax Number : 469-467-4377
Authorized Official
Title or Position : DIRECTOR
Name : J ERNEST SIMS
Credential :
Telephone Number : 972-490-2912
Provider Enumeration Date : 07/24/2006
Last Update Date : 01/12/2024

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Directions to “ONCOLOGY PHARMACY SERVICES, INC ” Practice Location

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