Organization
ONCOLOGY PHARMACY SERVICES INC
Active
Other names
Texas Oncology Pharmacy Waco
Organization subpart
No
Provider details
NPI number
Authorized official
J ERNEST SIMS (DIRECTOR)
(972) 490-2912
Entity
Organization
Contact information
Practice address
1700 W STATE HIGHWAY 6, WACO, TX 76712-2452
(254) 399-5900
(254) 399-5905
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
19978
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068789901
—
TX
01
—
19978
CLASS A LICENSE
TX
01
—
320215
TX VENDOR DRUG
TX
01
—
4509191
NCPDP
TX
Enumeration date
07/25/2006
Last updated
01/12/2024
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