Mr Randall Walters O'neill Jr, RPH is a
Pharmacist based in Melbourne Beach, Florida. Mr Randall Walters O'neill Jr is licensed to practice in Florida (license number PS28818) and his current practice location is
3830 S Hwy A1a, Melbourne Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(321) 725-3711.
NPI number for Mr Randall Walters O'neill Jr is 1114264058 and his current mailing address is 3830 S Hwy A1a, Melbourne Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114264058.
Healthcare Provider's Profile
| Full Name | Mr Randall Walters O'neill Jr |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 3830 S Hwy A1a, Melbourne Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114264058
- Provider Enumeration Date: 01/11/2013
- Last Update Date: 01/11/2013
Medical Identifiers
Medical identifiers for Mr Randall Walters O'neill Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114264058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS28818 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Randall Walters O'neill Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Randall Walters O'neill Jr, RPH
3830 S Hwy A1a,
Melbourne Beach, FL 32951-3143
Ph: (321) 725-3711 | Mr Randall Walters O'neill Jr, RPH
3830 S Hwy A1a,
Melbourne Beach, FL 32951-3143
Ph: (321) 725-3711 |
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