| NPI | 1033250998 |
|---|---|
| Doing Business As | RANDYS PBA RX |
| Entity Type | Organization |
| Authorized Contact | RANDY ACKMAN Pres 573-471-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 005751) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-12-21 |