Organization
ONEALS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTON ONEAL III PHARMD (PRESIDENT)
(252) 943-2643
Entity
Organization
Contact information
Practice address
292 E MAIN ST, BELHAVEN, NC 27810-1414
(252) 943-2643
Mailing address
292 E MAIN ST, BELHAVEN, NC 27810-1414
(252) 943-2643
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000054
NC
332BC3200X
Customized Equipment (DME)
000054
NC
332BN1400X
Nursing Facility Supplies (DME)
000054
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
000054
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
000054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700129
—
NC
Enumeration date
03/30/2007
Last updated
05/16/2011
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