Provider Demographics
NPI:1497903827
Name:O'MALLEY, CLAUDIA OVERALL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:OVERALL
Last Name:O'MALLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 DEGRAFENREID AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-4546
Mailing Address - Country:US
Mailing Address - Phone:252-638-5141
Mailing Address - Fax:252-638-9093
Practice Address - Street 1:710 DEGRAFENREID AVE
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4546
Practice Address - Country:US
Practice Address - Phone:252-638-5141
Practice Address - Fax:252-638-9093
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12856183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist