Organization
CLEVELAND RANDOLPH, JR, MD, PA
Active
Other names
C.W.Randolph's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEVELAND RANDOLPH JR. M.D. (OWNER)
(904) 746-3046
Entity
Organization
Contact information
Practice address
1891 BEACH BLVD, JACKSONVILLE BEACH, FL 32250-2644
(904) 746-3046
(904) 249-2047
Mailing address
1891 BEACH BLVD, JACKSONVILLE BEACH, FL 32250-2644
(904) 746-3046
(904) 249-2047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH28647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH28647
PHARMACY LICENSE
FL
Enumeration date
01/13/2015
Last updated
01/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us