Provider Demographics
NPI:1790209633
Name:O'NEILS SMART HEALTH PHARMACY
Entity Type:Organization
Organization Name:O'NEILS SMART HEALTH PHARMACY
Other - Org Name:SMART HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:J
Authorized Official - Last Name:O'NEIL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:435-650-5836
Mailing Address - Street 1:PO BOX 1094
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84528-1094
Mailing Address - Country:US
Mailing Address - Phone:435-687-5050
Mailing Address - Fax:435-687-1093
Practice Address - Street 1:221 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:UT
Practice Address - Zip Code:84528-1094
Practice Address - Country:US
Practice Address - Phone:435-687-5050
Practice Address - Fax:435-687-5053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT106606563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy