| NPI | 1902900970 |
|---|---|
| Doing Business As | RANDOL MILL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY DALEY Pres./Rph. 817-274-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 14456) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-08-17 |