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General NPI Number Information
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NPI Number | 1770402125
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Entity Type | Organization
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Legal Business Name | COSTWISE PHARMACY INC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 712 WASHINGTON ST
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2648
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Country | US
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Telephone | 252-809-4288
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Fax | 252-809-4287
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Provider Business Mailing Address
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Address Line | 365 PAMLICO ST
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City | BELHAVEN
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State | NC
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Zip | 27810-1419
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Country | US
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Telephone | 252-809-4288
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Fax | 252-809-4287
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Authorized Official
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Title or Position | OWNER
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Name | WALTON P ONEAL III
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Credential | PHARMD
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Telephone | 252-943-1913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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