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Organization

RANDALLS FOOD & DRUGS LP

Active
Other names
RANDALLS PHARMACY #1773
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization

Contact information

Practice address
2225 LOUISIANA ST, HOUSTON, TX 77002-8625
(713) 331-1053
(713) 331-1046
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
22239
TX
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4525878
OTHER ID NUMBER-COMMERCIAL NUMBER
05
465325
TX
Enumeration date
06/21/2006
Last updated
07/05/2024
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