Organization
ONCOLOGY SPECIALTIES PC
Active
Other names
CCI Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE ECHOLS (CREDENTIALING SPECIALIST)
(256) 327-5657
Entity
Organization
Contact information
Practice address
3601 CCI DR NW, SUITE 12, HUNTSVILLE, AL 35805-2606
(256) 705-4224
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112954
AL
Other
Enumeration date
08/24/2007
Last updated
01/15/2013
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