Fort Wayne Medical Oncology & Hemat in Fort Wayne - Clinic Pharmacy
Fort Wayne Medical Oncology & Hemat - NPI 1215066949
Fort Wayne Medical Oncology & Hemat is a Clinic Pharmacy in Fort Wayne, Indiana. Fort Wayne Medical Oncology & Hemat practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for Fort Wayne Medical Oncology & Hemat is 1215066949. The last update date is 2010-05-03.
Fort Wayne Medical Oncology & Hemat's current location address is 4402 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2609697846 and fax number 2604831734. The mailing address for Fort Wayne Medical Oncology & Hemat is 4402 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Wayne Medical Oncology & Hemat |
|---|---|
| Address | 4402 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2609697846 |
| Fax Number | 2604831734 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY D |
|---|---|
| Authorized Official Name | Maravilla Tracy |
| Credentials | PHARMD |
| Telephone Number | 2604849660 |
NPI Number Detail
| NPI Number | 1215066949 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2010-05-03 |
Provider Mailing Address Detail
| Address | 4402 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468156917 |
| Phone Number | 2609697846 |
| Fax Number | 2604831734 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | 60005894A |
|
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200544860A | IN | -- | |
| 1560247 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Fort Wayne Medical Oncology & Hemat by the Centers for Medicare & Medicaid Services?
The Fort Wayne Medical Oncology & Hemat has been assigned the NPI (National Provider Identifier) 1215066949 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Fort Wayne Medical Oncology & Hemat?
The Fort Wayne Medical Oncology & Hemat is physically situated at 4402 E State Blvd, in the city of Fort Wayne, state of IN, with the postal code 468156917.
What is the Fort Wayne Medical Oncology & Hemat's specialty and taxonomy code?
The Fort Wayne Medical Oncology & Hemat's specialty is Clinic Pharmacy, and the corresponding taxonomy code is 3336C0002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215066949 to Fort Wayne Medical Oncology & Hemat?
The Centers for Medicare & Medicaid Services originally issued the 1215066949 to Fort Wayne Medical Oncology & Hemat on 2007-03-06.
As of what date were the Fort Wayne Medical Oncology & Hemat's details last updated?
The information pertaining to the Fort Wayne Medical Oncology & Hemat, including its address, specialty, and other details, was most recently updated on 2010-05-03.
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