| NPI | 1477827673 |
|---|---|
| Doing Business As | RANDALLS PHARMACY #2987 |
| Entity Type | Organization |
| Authorized Contact | TIFFANY ELIOPULOS Asst. Mgr., Pharmacy Enrollments 208-395-3906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 24849) |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2019-01-17 |