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Fort Wayne Medical Oncology & Hemat — NPI 1215066949, Fort Wayne, IN | NPI Central

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NPI 1215066949

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Fort Wayne Medical Oncology & Hemat

NPI 1215066949 · Clinic Pharmacy · Fort Wayne, IN

Provider details

NPI number: 1215066949
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Organization subpart: No
Authorized official: Tracy Maravilla, Pharmacy Director(260) 484-9660
License: 60005894A (IN)

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002XLicense 60005894A (IN)
Suppliers

Practice location

4402 E State Blvd

Fort Wayne, IN 46815-6917

Phone: (260) 969-7846

Fax: (260) 483-1734

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

Po Box 15099

Fort Wayne, IN 46885-5099

Other names (DBA / former)

Doing business as: Ft Wayne Med Oncology and Hematology

Registry dates

Enumerated: 2007-03-06
Last updated: 2010-05-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.