Organization
ONCOLOGY PHARMACY SERVICES, INC
Active
Other names
Texas Oncology Pharmacy Longview
Organization subpart
No
Provider details
NPI number
Authorized official
J ERNEST SIMS (DIRECTOR)
(972) 490-2912
Entity
Organization
Contact information
Practice address
1400 N 4TH ST, LONGVIEW, TX 75601-4756
(903) 234-7060
(903) 757-9283
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
19967
TX
333600000X
Pharmacy
19967
TX
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119783201
—
TX
01
—
19967
CLASS A LICENSE
TX
01
—
320208
TX VENDOR DRUG
TX
01
—
4589428
NCPDP
TX
Enumeration date
07/24/2006
Last updated
01/12/2024
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