Individual
MR. DAVID L RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301-4445
(308) 762-6660
(308) 762-1923
Mailing address
1128 SHERIDAN AVE, ALLIANCE, NE 69301-2342
(308) 760-2287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10869
NE
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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