# ONCOLOGY RX

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ONCOLOGY RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881866804
- **Authorized official:** GARY METHENY (PHARMACY MANAGER)
- **Authorized official phone:** (918) 744-3185

## Contact information

- **Practice address:** 1705 E 19TH ST, STE 102, TULSA, OK 74104-5405
- **Practice address phone:** (918) 744-2908
- **Practice address fax:** (918) 744-2947
- **Mailing address:** 1705 E 19TH ST, STE 102, TULSA, OK 74104-5405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 25258 | OK | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 04/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3725124 | OTHER ID NUMBER | — |