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Oncomed Specialty LLC

Pharmacy in Great Neck, NY. Organization (NPI-2).

NPI number1134517352
StatusActive
Last updated in NPPESDec 23, 2014

Details

NPI
1134517352
Entity type
Organization (NPI-2)
Legal business name
Oncomed Specialty LLC
Organization subpart
No
Enumeration date
Dec 23, 2014
Last updated
Dec 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes

Practice location

225 Community Dr
Ste 100
Great Neck, NY 11021-5503

Phone 516-869-0920 · Fax 516-439-4266

Mailing address

1901 Campus Pl
Louisville, KY 40299-2308

Phone 502-627-7100 · Fax 855-217-7498

Authorized official

Thomas A Caneris
Vice President
5026277100

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