Individual
BAMBI IRENE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15300 N COTTON LN, SURPRISE, AZ 85388-9613
(623) 584-8558
(623) 584-8961
Mailing address
15300 N COTTON LN, SURPRISE, AZ 85388-9613
(623) 584-8558
(623) 584-8961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023391
AZ
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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