Provider Demographics
NPI:1285149112
Name:ONEIL, DAVID PATRICK (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:PATRICK
Last Name:ONEIL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4
Mailing Address - Street 2:
Mailing Address - City:CHALK HILL
Mailing Address - State:PA
Mailing Address - Zip Code:15421-0004
Mailing Address - Country:US
Mailing Address - Phone:412-582-4727
Mailing Address - Fax:
Practice Address - Street 1:134 DANIEL KENDALL DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-8303
Practice Address - Country:US
Practice Address - Phone:724-364-4106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032610L1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP032610LOtherPHARMACIST LICENSE