Organization
SINA DRUG 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
13410 EASTPOINT CENTRE DR, STE 101, LOUISVILLE, KY 40223-4160
(877) 662-6633
(502) 849-0643
Mailing address
13410 EASTPOINT CENTRE DR, STE 101, LOUISVILLE, KY 40223-4160
(877) 662-6633
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P07621
KY
3336C0003X
Community/Retail Pharmacy
P07621
KY
3336S0011X
Specialty Pharmacy
Primary
P07621
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710033170
—
KY
01
—
P07621
PHARMACY PERMIT
KY
Enumeration date
11/23/2016
Last updated
07/24/2025
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