Organization
CANCER CARE PARTNERS LLC
Active
Organization
CANCER CARE PARTNERS LLC
Active
Other names
Cancer Care Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA RIVERS (PHARMACY MANAGER)
(574) 204-7234
Entity
Organization
Contact information
Practice address
301 E DAY RD, MISHAWAKA, IN 46545-3455
(574) 204-7300
(574) 204-7231
Mailing address
301 E DAY RD, MISHAWAKA, IN 46545-3455
(574) 204-7300
(574) 204-7231
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006239A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1563217
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/25/2011
Last updated
05/25/2011
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