Organization
ONE VISION PHARMACY SERVICES INC
Active
Other names
Randy's Rx
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST TAYLOR PHARM RPH (PIC)
(248) 397-8612
Entity
Organization
Contact information
Practice address
25950 GREENFIELD RD, OAK PARK, MI 48237-1001
(248) 397-8612
(248) 415-0847
Mailing address
25950 GREENFIELD RD, OAK PARK, MI 48237-1001
(248) 397-8612
(248) 415-0847
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2365636
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/08/2006
Last updated
11/02/2012
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