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FOX VALLEY HEMATOLOGY & ONCOLOGY S C NPI 1003352733


NPI Information

NPI: 1003352733
Provider Name: FOX VALLEY HEMATOLOGY & ONCOLOGY S C

Doing Business As: FOX VALLEY FAMILY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3925 N GATEWAY DR
SUITE 100
APPLETON, WI
ZIP 54913
Phone: (920) 702-4802
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FOX VALLEY HEMATOLOGY & ONCOLOGY S C is a community/retail pharmacy pharmacy in Appleton, WI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FOX VALLEY HEMATOLOGY & ONCOLOGY S C NPI is 1003352733. The provider is registered as an organization entity type.
The provider Is Doing Business As Fox Valley Family Pharmacy.

The provider's business location address is:

3925 N GATEWAY DR
SUITE 100
APPLETON, WI
ZIP 54913-863
Phone: (920) 702-4802
Fax: (920) 702-4319

The provider's authorized official is Timothy Goggins .
The authorized official title is Chief Medical Officer/physician and has the following contact phone number (920) 749-1171.

The enumeration date for this NPI number is 1/19/2017 and was last updated on 5/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy9433-42WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12167333OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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