Individual
RANDY GLEN BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1060 N MAIN ST, HENDERSON, NE 68371-9798
(402) 723-4475
(402) 723-4476
Mailing address
PO BOX 711, HENDERSON, NE 68371-0711
(402) 723-4475
(402) 723-4476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11169
NE
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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