| NPI | 1912272493 |
|---|---|
| Doing Business As | RANDOL MILL LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY DALEY President 817-274-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 28059) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2023-08-28 |