Organization
ONCOLOGY HEMATOLOGY WEST, PC
Active
Other names
NCS Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LANGDON MD (PRESIDENT)
(402) 334-4773
Entity
Organization
Contact information
Practice address
17201 WRIGHT ST STE 204, OMAHA, NE 68130-2042
(402) 691-1502
Mailing address
17201 WRIGHT ST STE 200, OMAHA, NE 68130-2042
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264399-00
—
NE
Enumeration date
05/09/2014
Last updated
02/23/2021
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