Organization
RANDOLPHS RX PHARMACY
Active
Other names
RANDOLPHS RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN RANDOLPH PHARM.D. (PRESIDENT/ PIC)
(773) 434-7186
Entity
Organization
Contact information
Practice address
2751 W 51ST ST, CHICAGO, IL 60632-2136
(773) 434-7186
(773) 778-7585
Mailing address
2751 W 51ST ST, CHICAGO, IL 60632-2136
(773) 434-7186
(773) 778-7585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054011619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020858
PK
—
Enumeration date
09/21/2006
Last updated
04/27/2017
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