Organization
COLUMBIA PHARMACY INC
Active
Other names
COLUMBIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTON PRENTISS ONEAL III PHARMD (OWNER)
(252) 943-2643
Entity
Organization
Contact information
Practice address
214 MAIN ST, COLUMBIA, NC 27925
(252) 796-2421
(252) 796-1124
Mailing address
PO BOX 239, COLUMBIA, NC 27925-0239
(252) 796-2421
(252) 796-1124
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0895060
—
NC
01
—
2069093
PK
—
Enumeration date
07/24/2006
Last updated
11/19/2018
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