| NPI | 1043461353 |
|---|---|
| Doing Business As | RANDOL MILL LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY DALEY Owner 817-274-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 19543) |
| Additional Taxonomies | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-16 |