Organization
ONCOLOGY PHARMACY SERVICES INC.
Active
Organization
ONCOLOGY PHARMACY SERVICES INC.
Active
Other names
Texas Oncology Pharmacy Willowbrook
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KEVIN BIVONA (REVENUE CYCLE MANAGER)
(972) 997-8103
Entity
Organization
Contact information
Practice address
13215 DOTSON RD STE 300, HOUSTON, TX 77070-4535
(832) 996-4029
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31739
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31739
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
12/27/2017
Last updated
10/10/2020
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