Organization
RANDALLS FOOD & DRUGS LP
Active
Other names
RANDALLS PHARMACY #2484
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
5721 WILLIAMS DR, GEORGETOWN, TX 78633
(208) 395-6200
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
11/03/2017
Last updated
11/02/2018
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