Organization
ONCO PHARMACEUTICAL SERVICES OF MA, LLC
Active
Other names
Onco360
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KONAK (VP, REVENUE CYCLE MGT)
(877) 662-6633
Entity
Organization
Contact information
Practice address
150 BEAR HILL RD, WALTHAM, MA 02451-1028
(781) 290-0030
(781) 290-0014
Mailing address
13410 EASTPOINT CENTRE DR STE 100, LOUISVILLE, KY 40223-4160
(877) 663-6633
(502) 849-0643
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
DS89702
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084520
—
MA
01
—
DS89702
PHARMACY PERMIT
MA
Enumeration date
11/23/2016
Last updated
07/24/2025
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