| NPI | 1518996586 |
|---|---|
| Doing Business As | RANDALLS PHARMACY #2473 |
| Entity Type | Organization |
| Authorized Contact | SUNNY YOST Managed Care Plan Specialist 208-395-3920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2017-05-26 |