Individual
DANIEL RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
4915 DIXIE HWY, LOUISVILLE, KY 40216-2501
(502) 448-9726
(502) 448-4991
Mailing address
4915 DIXIE HWY, LOUISVILLE, KY 40216-2501
(502) 448-9726
(502) 448-4991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011919
KY
183500000X
Pharmacist
26015022A
IN
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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