Individual
MR. ROBERT JOSEPH RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
5505 W OWEN K GARRIOTT RD, ENID, OK 73703-6075
(580) 233-9948
Mailing address
408 LILAC PL, ENID, OK 73703-3516
(580) 977-9242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11823
OK
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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