Healthcare Provider Details

I. General information

NPI: 1386742260
Provider Name (Legal Business Name): O NEALS DRUG STORE OF SNOW HILL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 5TH STREET
AURORA NC
27806-0397
US

IV. Provider business mailing address

PO BOX 397
AURORA NC
27806-0397
US

V. Phone/Fax

Practice location:
  • Phone: 252-322-4168
  • Fax: 252-322-4169
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number08888
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WALTON ONEAL
Title or Position: PRESIDENT
Credential: PHD
Phone: 252-943-1913