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Organization
ONCOLOGY RX
Active
Organization
ONCOLOGY RX
Active
Other names
ONCOLOGY RX
Organization subpart
No
Provider details
NPI number
Authorized official
GARY METHENY (PHARMACY MANAGER)
(918) 744-3185
Entity
Organization
Contact information
Practice address
1705 E 19TH ST, STE 102, TULSA, OK 74104-5405
(918) 744-2908
(918) 744-2947
Mailing address
1705 E 19TH ST, STE 102, TULSA, OK 74104-5405
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
25258
OK
3336C0003X
Community/Retail Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3725124
OTHER ID NUMBER
—
Enumeration date
03/31/2008
Last updated
04/15/2008
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