Individual
CHAD RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12312 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0720
(509) 921-0659
Mailing address
12312 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0720
(509) 921-0659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00041422
WA
Other
Enumeration date
12/20/2009
Last updated
12/20/2009
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