Organization
ONCOLOGY RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MICHAEL CASSO (COO)
(504) 888-5873
Entity
Organization
Contact information
Practice address
39 STARBRUSH CIR, COVINGTON, LA 70433-7209
(985) 892-6957
(985) 892-6794
Mailing address
39 STARBRUSH CIR, COVINGTON, LA 70433-7209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5473IR
LA
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932676
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/17/2006
Last updated
09/11/2025
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