Provider Demographics
NPI:1205248390
Name:O'NEAL, FREDRICK (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FREDRICK
Middle Name:
Last Name:O'NEAL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 VICKEY CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6624
Mailing Address - Country:US
Mailing Address - Phone:334-322-8939
Mailing Address - Fax:
Practice Address - Street 1:6670 CHARLOTTE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4202
Practice Address - Country:US
Practice Address - Phone:615-354-5109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-23
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41627183500000X
NV19304183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist