Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Wayne Medical Oncology & Hemat

Organization Clinic Pharmacy · NPI 1215066949

Fort Wayne Medical Oncology & Hemat is a Clinic Pharmacy in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007

Practice location Address checks out

4402 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 969-7846
Fax: (260) 483-1734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence 60005894A (IN)

Record details

NPI number1215066949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Maravilla — Pharmacy Director · (260) 484-9660
Other names Ft Wayne Med Oncology And Hematology
NPI enumeratedMarch 6, 2007
Last updated in NPPESMay 3, 2010
Mailing addressPo Box 15099, Fort Wayne, IN 46885-5099