NPI | 1215066949 |
---|---|
Doing Business As | FT WAYNE MED ONCOLOGY AND HEMATOLOGY |
Entity Type | Organization |
Authorized Contact | TRACY MARAVILLA Pharmacy Director 260-484-9660 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IN 60005894A) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2010-05-03 |