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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