RANDY DALE MALAN

SPRINGFIELD, IL
NPI1407853609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1300X Pharmacist, Psychiatric
(Licence: IL  051-029074)
Enumeration Date2005-07-01
Last Update Date2007-07-08
Business Address
-- RANDY DALE MALAN R.Ph.
401 N 4TH ST FIRST FLOOR
SPRINGFIELD, IL 62702-5255
Phone number: 217-785-8983
Mailing Address
-- RANDY DALE MALAN R.Ph.
512 HUNTINGTON
GLEN CARBON, IL 62034-1952
Phone number: 618-288-4520
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