Organization
OKLAHOMA ONCOLOGY AND HEMATOLGY PC
Active
Other names
Cancer Care Associates Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BUKOFZER DPH (CHIEF EXECUTIVE OFFICER)
(918) 499-2153
Entity
Organization
Contact information
Practice address
4401 W MEMORIAL RD, STE 138, OKLAHOMA CITY, OK 73134-1785
(405) 936-2825
(405) 936-2895
Mailing address
4401 W MEMORIAL RD, STE 138, OKLAHOMA CITY, OK 73134-1785
(405) 936-2825
(405) 936-2895
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15348
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744480 B
—
OK
01
—
3725629
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/04/2008
Last updated
05/24/2010
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