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Contact Information

ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS
3105 MAGORY DRIVE
BLOOMINGTON, IL61704
 Phone: 309-243-9018
 Fax: 309-243-3075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS

NPI # 1740662949
LBN Legal business name ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS
Authorized official JASON HARLOW - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2015
Last updated 06/24/2015 - About 11 years ago
Identifiers
IL License # 054.019361
Other 2152589 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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