Organization
CHOCOWINITY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTON P ONEAL, III PHARMD (PRESIDENT)
(252) 946-4000
Entity
Organization
Contact information
Practice address
633 NC HIGHWAY 33 E, CHOCOWINITY, NC 27817-9005
(252) 946-4000
(252) 946-6890
Mailing address
633 NC HIGHWAY 33 E, PO BOX 5, CHOCOWINITY, NC 27817-9005
(252) 946-4000
(252) 946-6890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703308
—
NC
Enumeration date
03/29/2007
Last updated
07/25/2008
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