Ft Wayne Med Oncology And Hematology is not a DME supplier for medicare equipments and products.
Ft Wayne Med Oncology And Hematology is a Clinic Pharmacy in Fort Wayne, Indiana. This pharmacy is owned and operated by Fort Wayne Medical Oncology & Hemat. It is located at 4402 E State Blvd, Fort Wayne and it's customer support contact number is 260-969-7846. The authorized person of Ft Wayne Med Oncology And Hematology is Tracy Maravilla, PHARMD who is Pharmacy Director of the pharmacy and his contact number is 260-484-9660. Active license number of Ft Wayne Med Oncology And Hematology is 60005894A for Clinic Pharmacy in Indiana. Ft Wayne Med Oncology And Hematology is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Ft Wayne Med Oncology And Hematology type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Ft Wayne Med Oncology And Hematology
Type:
Clinic Pharmacy
Location:
4402 E State Blvd, Fort Wayne, Indiana, 46815-6917
Phone:
260-969-7846
Fax:
260-483-1734
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Tracy Maravilla
Credentials:
PHARMD
Position:
Pharmacy Director
Contact Number:
260-484-9660
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1215066949
NPI Enumeration Date:
06 Mar, 2007
NPI Last Update On:
03 May, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ft Wayne Med Oncology And Hematology are as mentioned below.
Specialization
License Number
State
Status
Clinic Pharmacy
60005894A
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200544860A
Medicaid
Indiana
1560247
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 15099, Fort Wayne, Indiana
Zip:
46885-5099
Phone Number:
--
Fax Number:
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Patients can reach Ft Wayne Med Oncology And Hematology at 4402 E State Blvd, Fort Wayne, Indiana or can call on customer care at 260-969-7846.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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