Organization
ONCOLOGY PHARMACY SERVICES, INC
Active
Other names
Texas Oncology Pharmacy Odessa
Organization subpart
No
Provider details
NPI number
Authorized official
J ERNEST SIMS (EXECUTIVE DIRECTOR)
(972) 490-2912
Entity
Organization
Contact information
Practice address
500 W 3RD ST, ODESSA, TX 79761-5010
(432) 337-0012
(432) 332-5353
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25336
CLASS A LICENSE
TX
01
—
4544018
NCPDP
TX
01
—
466397
HHSC VENDOR
TX
Enumeration date
02/13/2007
Last updated
01/12/2024
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