# ONCOLOGY ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013963404
- **Authorized official:** DUDLEY BLANK RPH (DIR OF PHARM)
- **Authorized official phone:** (414) 906-4400

## Contact information

- **Practice address:** 1055 N MAYFAIR RD, WAUWATOSA, WI 53226-3436
- **Practice address phone:** (414) 479-8450
- **Practice address fax:** (414) 479-8670
- **Mailing address:** 1055 N MAYFAIR RD, WAUWATOSA, WI 53226-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 21799020 | WI | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 11/21/2007
