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Organization
HOSPITAL PHARMACY OF WASHINGTON INC
Active
Organization
HOSPITAL PHARMACY OF WASHINGTON INC
Active
Other names
ONeals Drug Store, Tayloes Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WALTON P ONEAL PHARMD (PRESIDENT)
(252) 943-2643
Entity
Organization
Contact information
Practice address
601 EAST 12TH STREET, WASHINGTON, NC 27889
(252) 946-4113
(252) 946-9552
Mailing address
601 EAST 12TH STREET, WASHINGTON, NC 27889
(252) 946-4113
(252) 946-9552
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075259
—
NC
01
—
7700839
MEDICAID DME
NC
Enumeration date
08/09/2006
Last updated
08/23/2021
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