Organization
TEXAS CANCER ASSOCIATES PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIVESH SHARMA MD (CEO)
(214) 739-1706
Entity
Organization
Contact information
Practice address
8440 WALNUT HILL LN, SUITE 600, DALLAS, TX 75231-3833
(214) 739-1706
(214) 420-7492
Mailing address
PO BOX 674100, DALLAS, TX 75267-4100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25264
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4542836
OTHER ID NUMBER
—
Enumeration date
10/10/2006
Last updated
02/13/2008
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