Organization
ONCOLOGY-HEMATOLOGY CONSULTANTS PA
Active
Other names
The Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY RUSSO (EXECUTIVE DIRECTOR)
(817) 333-0180
Entity
Organization
Contact information
Practice address
800 W MAGNOLIA AVE, SUITE 130, FORT WORTH, TX 76104-4611
(817) 333-0180
(817) 759-7078
Mailing address
800 W MAGNOLIA AVE, SUITE 130, FORT WORTH, TX 76104-4611
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
24590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145648
—
TX
05
—
149395
—
TX
Enumeration date
06/08/2006
Last updated
05/22/2023
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