Organization
BIOMATRIX SPECIALTY PHARMACY OF MARYLAND, LLC
Active
Parent organization
BIOMATRIX SPECIALTY PHARMACY, LLC
Other names
OncoSourceRx, Cardinal Health Specialty Pharmacy, LLC / OncoSourceRx
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIOMATRIX SPECIALTY PHARMACY, LLC
Authorized official
NICHOLAS KARALIS (CEO & PRESIDENT)
(610) 545-6040
Entity
Organization
Contact information
Practice address
6992 COLUMBIA GATEWAY DR STE 220, COLUMBIA, MD 21046-2986
(888) 662-6779
(877) 800-4790
Mailing address
6992 COLUMBIA GATEWAY DR STE 220, COLUMBIA, MD 21046-2986
(888) 662-6779
(877) 800-4790
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149859
PK
—
Enumeration date
01/28/2015
Last updated
06/16/2021
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