Provider Demographics
NPI:1982242780
Name:JA MCNEILL & SONS & DAUGHTER II LLC
Entity Type:Organization
Organization Name:JA MCNEILL & SONS & DAUGHTER II LLC
Other - Org Name:MCNEILL'S LONG TERM CARE PHARMACY #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-840-2955
Mailing Address - Street 1:2560 LANDMARK DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-6716
Mailing Address - Country:US
Mailing Address - Phone:336-760-3446
Mailing Address - Fax:
Practice Address - Street 1:2560 LANDMARK DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6716
Practice Address - Country:US
Practice Address - Phone:336-760-3446
Practice Address - Fax:336-760-4053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy