FORT WAYNE MEDICAL ONCOLOGY & HEMAT

FORT WAYNE, IN
NPI1215066949
Doing Business AsFT WAYNE MED ONCOLOGY AND HEMATOLOGY
Entity TypeOrganization
Authorized ContactTRACY MARAVILLA
Pharmacy Director
260-484-9660
Organization Subpart ?No
Primary Taxonomy3336C0002X Pharmacy, Clinic Pharmacy
(Licence: IN  60005894A)
Enumeration Date2007-03-06
Last Update Date2010-05-03
Business Address
FORT WAYNE MEDICAL ONCOLOGY & HEMAT
4402 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-969-7846
Mailing Address
FORT WAYNE MEDICAL ONCOLOGY & HEMAT
PO BOX 15099
FORT WAYNE, IN 46885-5099
Phone number: