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Fort Wayne Medical Oncology & Hemat
Clinic Pharmacy in Fort Wayne, Indiana
NPI 1215066949

Fort Wayne Medical Oncology & Hemat is a Clinic Pharmacy based in Fort Wayne, IN and is specialized in Clinic Pharmacy. Fort Wayne Medical Oncology & Hemat practices in Fort Wayne, IN. The NPI Number for Fort Wayne Medical Oncology & Hemat is 1215066949 and holds a License No. 60005894A (Indiana).

The current practice location address for Fort Wayne Medical Oncology & Hemat is 4402 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-969-7846 and via fax at 260-483-1734.

Location: 4402 E State Blvd, Fort Wayne, IN, 46885-5099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215066949
Provider Name
Fort Wayne Medical Oncology & Hemat
Credential
Provider Entity Type
Organization
Address
4402 E State Blvd, Fort Wayne, IN, 46885-5099
Phone Number
260-969-7846
Fax Number
260-483-1734
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200544860A 05 IN
1560247 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
4402 E State Blvd
City
Fort Wayne
State
Indiana
Zip
46815-6917
Phone Number
260-969-7846
Fax Number
260-483-1734
person
Provider Business Mailing Address Details
Address
4402 E State Blvd
City
Fort Wayne
State
Indiana
Zip
46815-6917
Phone Number
260-969-7846
Fax Number
260-483-1734
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
60005894A (Indiana)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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