| NPI | 1902846652 |
|---|---|
| Doing Business As | RANDY'S RX |
| Entity Type | Organization |
| Authorized Contact | ERNEST TAYLOR PIC 248-397-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007724) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-11-02 |