Provider Demographics
NPI:1366825275
Name:ONEAL, BOBBI MICHELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BOBBI
Middle Name:MICHELLE
Last Name:ONEAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:BOBBI
Other - Middle Name:MICHELLE
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:WEST LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:41472-0128
Mailing Address - Country:US
Mailing Address - Phone:606-743-1869
Mailing Address - Fax:
Practice Address - Street 1:789 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:SALYERSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41465-9740
Practice Address - Country:US
Practice Address - Phone:606-349-1700
Practice Address - Fax:606-349-7299
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist