Individual
MR. RANDALL LEE ARNDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 N MAIN ST, FORT ATKINSON, WI 53538-1831
(920) 568-9326
Mailing address
N5821 HILLSIDE DR, SULLIVAN, WI 53178-9746
(262) 593-2848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
887340
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33284000
—
WI
Enumeration date
10/27/2011
Last updated
10/27/2011
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