Organization
RANDALL PHARMACY INC
Active
Other names
Jims Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY EUGENE SMITH RPH (CO OWNER)
(785) 827-4114
Entity
Organization
Contact information
Practice address
582 S OHIO STREET, SACINA, KS 67401
(785) 827-4114
(785) 827-2144
Mailing address
582 SOUTH OHIO STREET, SACINA, KS 67401
(785) 827-4114
(785) 827-2144
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
209527
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1711161
NCPDP #
KS
01
—
209527
STATE KANSAS LICENSE
—
Enumeration date
10/02/2006
Last updated
08/22/2020
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