NPI 1003352733

Fox Valley Hematology & Oncology S C

Organisation Community/Retail Pharmacy Appleton, WI

Practice location

Address: 3925 N Gateway Dr Suite 100, Appleton, WI 54913-7863
Phone: (920) 702-4802
Fax: (920) 702-4319
Mailing address: 3232 N Ballard Rd Suite 200, Appleton, WI 54911-8804

Authorised official

Name: Timothy Goggins
Title: Chief Medical Officer/Physician
Phone: (920) 749-1171

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 9433-42 (WI)

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Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1003352733
Entity type: Organization
NPI issued: 19 Jan 2017
Record last updated: 8 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.