Organization
ONCOLOGY ASSOCIATES INC PSC
Active
Other names
Oncology Associates of West Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
VAN BOWDEN RPH (PIC)
(270) 444-3930
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE STE 403, PADUCAH, KY 42003-3830
(270) 444-3930
(270) 442-1470
Mailing address
2603 KENTUCKY AVE STE 403, PADUCAH, KY 42003-3830
(270) 444-3930
(270) 442-1470
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07772
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162580
PK
—
Enumeration date
08/11/2016
Last updated
08/30/2016
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