BLOOD AND CANCER CLINIC PA NPI 1174747711

NPI Information

BLOOD AND CANCER CLINIC, PA is a non pharmacy dispensing site in Fayetteville, NC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) BLOOD AND CANCER CLINIC, PA NPI is 1174747711. The provider is registered as an organization entity type.

The provider's business location address is:

2125 VALLEYGATE DR
SUITE 101
FAYETTEVILLE, NC
ZIP 28304-657
Phone: (910) 483-8586
Fax: (910) 483-9212

The provider's authorized official is Shirish D Devasthali .
The authorized official title is President and has the following contact phone number (910) 483-8586.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.