| NPI | 1215120142 |
|---|---|
| Doing Business As | RANDY'S RX |
| Entity Type | Organization |
| Authorized Contact | RANDY KEITH ACKMAN Pres. 573-471-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 005751) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |