NPI | 1386673341 |
---|---|
Doing Business As | RANDALLS PHARMACY #1035 |
Entity Type | Organization |
Authorized Contact | MICHELLE ANN RIVERS Managed Care Plan Specislist 623-869-3524 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: TX 22031) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2017-05-26 |