Organization
SOUTHWEST HEMATOLOGY-ONCOLOGY ASSOCIATES PA
Active
Organization
SOUTHWEST HEMATOLOGY-ONCOLOGY ASSOCIATES PA
Active
Other names
SOUTHWEST HEMATOLOGY ONCOLOGY ASSOCIATES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANCE WILSON PHARMD (DIRECTOR OF PHARMACY)
(806) 793-6654
Entity
Organization
Contact information
Practice address
4002 21ST ST, STE B, LUBBOCK, TX 79410-1135
(806) 793-8310
(806) 793-7871
Mailing address
4002 21ST ST, STE B, LUBBOCK, TX 79410-1135
(806) 793-8310
(806) 793-7871
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15666
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081556501
—
TX
01
—
2093517
PK
—
Enumeration date
08/10/2006
Last updated
07/28/2015
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