Organization
RANDALLS FOOD & DRUGS LP
Active
Other names
TOM THUMB PHARMACY #3099
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (MGR ENROLLMENTS)
(208) 395-3954
Entity
Organization
Contact information
Practice address
551 LAURENCE DR, HEALTH, TX 75032
(469) 651-6370
(469) 651-6371
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
08/09/2019
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