# SINA DRUG LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ONCO360
- **Other names:** Onco360
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053800052
- **Legal business name:** ONCO360
- **Authorized official:** RANDOLPH FALKENRATH (PRESIDENT)
- **Authorized official phone:** (877) 662-6633

## Contact information

- **Practice address:** 10204 WERCH DR STE 302, WOODRIDGE, IL 60517
- **Practice address phone:** (877) 662-6633
- **Practice address fax:** (502) 849-0643
- **Mailing address:** 13410 EASTPOINT CENTRE DR, STE 101, LOUISVILLE, KY 40223-4160
- **Mailing address phone:** (877) 662-6633
- **Mailing address fax:** (502) 849-0643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2018
- **Last updated:** 04/07/2021
