Organization
ONCOMED PHARMACEUTICAL SERVICES OF JERSEY CITY NJ LLC
Active
Other names
Onco360
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JARDINA (PRESIDENT & CEO)
(502) 416-1483
Entity
Organization
Contact information
Practice address
4041 HADLEY RD, SOUTH PLAINFIELD, NJ 07080-1111
(201) 798-5220
(201) 798-5224
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(877) 662-6633
(877) 662-6355
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00676800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056234
PK
—
Enumeration date
12/14/2007
Last updated
04/18/2016
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