Organization
RANDALLS FOOD & DRUGS LP
Active
Other names
TOM THUMB PHARMACY #4789
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
4221 FM 1387, MIDLOTHIAN, TX 76065
(682) 560-4055
(682) 560-4056
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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