# CANCER CARE PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cancer Care Partners Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932419314
- **Authorized official:** PAT SCHNEIDER (DIRECTOR)
- **Authorized official phone:** (574) 364-2651

## Contact information

- **Practice address:** 301 E DAY RD STE 300, MISHAWAKA, IN 46545-3455
- **Practice address phone:** (574) 204-7239
- **Practice address fax:** (574) 204-7231
- **Mailing address:** 301 E DAY RD STE 300, MISHAWAKA, IN 46545-3455
- **Mailing address phone:** (574) 204-7239
- **Mailing address fax:** (574) 204-7231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 60006239A | IN | Yes |

## Other

- **Enumeration date:** 10/19/2010
- **Last updated:** 04/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1563130 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
