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Individual
RANDY WILLIAM PENNINGTON
Active
Individual
RANDY WILLIAM PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6054
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467401315
NPI
TN
Enumeration date
02/22/2010
Last updated
02/22/2010
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