MEDICARE: DR. CHRISTOPHER MICHAEL O'NEILL PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP441058	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RP441058	OTHER		PA PHARMACIST LICENSE

General Provider Information

NPI Number	:	1356657209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MICHAEL O'NEILL PHARMD

Provider Business Mailing Address
First Line	:	2853 HOLME AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-2118
Country	:	US
Telephone Number	:	215-677-1111
Fax Number	:	215-677-1118

Provider Business Practice Location Address
First Line	:	2853 HOLME AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-2118
Country	:	US
Telephone Number	:	215-677-1111
Fax Number	:	215-677-1118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2010
Last Update Date	:	08/28/2010

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Directions to “ DR. CHRISTOPHER MICHAEL O'NEILL PHARMD” Practice Location

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