Organization
ONCOLOGY PHARMACY SERVICES INC.
Active
Organization
ONCOLOGY PHARMACY SERVICES INC.
Active
Other names
Texas Oncology Pharmacy - SW Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BIVONA (MANAGER)
(972) 997-8103
Entity
Organization
Contact information
Practice address
TEXAS ONCOLOGY PHARMACY - SW FORT WORTH, 6500 HARRIS PARKWAY SUITE #100, FORT WORTH, TX 76132
(817) 263-2650
(817) 263-2645
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
30849
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162404
PK
—
Enumeration date
08/12/2016
Last updated
10/10/2020
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