| NPI | 1548583230 |
|---|---|
| Other Name | DAN RANDOLPH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 011919) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26015022A) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |