RANDY WARD DAVIDSON

MCINTOSH, AL
NPI1134297120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: AL  T01889)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
-- RANDY WARD DAVIDSON pht
61 RIVER RD
MCINTOSH, AL 36553-0247
Phone number: 251-944-2563
Mailing Address
-- RANDY WARD DAVIDSON pht
P O BOX 185
MCINTOSH, AL 36553-0185
Phone number: 251-944-0143
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