Individual
JOHN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2833 CANTON RD, MARIETTA, GA 30066-5439
(770) 425-1215
Mailing address
2833 CANTON RD, MARIETTA, GA 30066-5439
(770) 425-1215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012451
GA
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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