Organization
ONCOLOGY PHARMACY SERVICES, INC
Active
Other names
Texas Oncology Pharmacy Austin Central
Organization subpart
No
Provider details
NPI number
Authorized official
J. ERNEST SIMS (EXECUTIVE DIRECTOR)
(972) 490-2912
Entity
Organization
Contact information
Practice address
6204 BALCONES DR, AUSTIN, TX 78731-4214
(512) 427-9448
(512) 302-3928
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
20165
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068868101
—
TX
01
—
20165
CLASS A LIC
TX
01
—
350148
HHSC VENDOR
TX
01
—
4592386
NCPDP
TX
Enumeration date
06/21/2006
Last updated
01/12/2024
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