Organization
MCKINNEY ONCOLOGY PHARMACY
Active
Other names
Mckinney Oncology Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOAN LY (MANAGER)
(469) 714-0565
Entity
Organization
Contact information
Practice address
4201 MEDICAL CENTER DR, SUITE 320 A, MCKINNEY, TX 75069-1766
(469) 714-0565
(469) 617-7606
Mailing address
4201 MEDICAL CENTER DR, SUITE 320 A, MCKINNEY, TX 75069-1766
(469) 714-0565
(469) 617-7606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
31593
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171397
PK
—
Enumeration date
09/25/2017
Last updated
07/19/2018
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