Individual
DEREK DAVID O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4314 LOCUST ST, PHILADELPHIA, PA 19104-5232
(215) 386-2093
(215) 386-9804
Mailing address
5040 PALMER MILL RD, CLIFTON HEIGHTS, PA 19018-1008
(610) 368-8105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452350
PA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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