Individual
DR. MICHAEL RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9623 VALLEY WOODS LN, KNOXVILLE, TN 37922-3553
(865) 591-3170
Mailing address
9623 VALLEY WOODS LN, KNOXVILLE, TN 37922-3553
(865) 591-3170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
INPROGRESS
TN
183500000X
Pharmacist
PS47243
FL
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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