Organization Name: | COSTWISE PHARMACY INC |
NPI Number: | 1780996413 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTON ONEAL (PRESIDENT) |
Mailing Address: | 712 Washington St Williamston |
State: | NC US |
Postal Code: | 278922648 |
Phone Number: | 2528094288 |
Fax Number: | 2528094287 |
NPI Enumeration Date: | 07/10/2010 |
NPI Last Update Date: | 07/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 10253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |