Organization
ONCOLOGY CENTER OF SOUTHWEST P A
Active
Organization
ONCOLOGY CENTER OF SOUTHWEST P A
Active
Other names
Dexter Speciality Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NARESH GUPTA (PRESIDENT)
(972) 758-2664
Entity
Organization
Contact information
Practice address
4712 DEXTER DR STE 200, PLANO, TX 75093-5290
(972) 758-2664
(972) 758-2660
Mailing address
4712 DEXTER DR STE 200, PLANO, TX 75093-5290
(972) 758-2664
(972) 758-2660
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26696
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4554855
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/03/2010
Last updated
02/03/2010
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