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Oncology Alliance
Non-Pharmacy Dispensing Site in Wauwatosa, Wisconsin
NPI 1013963404

Oncology Alliance is a Non-Pharmacy Dispensing Site based in Wauwatosa, WI. Oncology Alliance practices in Wauwatosa, WI. The NPI Number for Oncology Alliance is 1013963404 and holds a License No. 21799020 (Wisconsin).

The current practice location address for Oncology Alliance is 1055 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-479-8450 and via fax at 414-479-8670.

Location: 1055 N Mayfair Rd, Wauwatosa, WI, 53226-3436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013963404
Provider Name
Oncology Alliance
Credential
Provider Entity Type
Organization
Address
1055 N Mayfair Rd, Wauwatosa, WI, 53226-3436
Phone Number
414-479-8450
Fax Number
414-479-8670
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32836000 05 WI
5129588 01 OTHER ID NUMBER-COMMERCIAL NUMBER
5129588 01 OTHER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1055 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-3436
Phone Number
414-479-8450
Fax Number
414-479-8670
person
Provider Business Mailing Address Details
Address
1055 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-3436
Phone Number
414-479-8450
Fax Number
414-479-8670
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
21799020 (Wisconsin)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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