C.W.Randolph'S Pharmacy

LBN: Cleveland Randolph, Jr, Md, Pa
C.W.Randolph'S Pharmacy is an health care organization with primary practice located at 1891 Beach Blvd , Jacksonville Beach FL 32250-2644. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Cleveland Randolph, Jr, Md, Pa can be contacted via phone (904) 746-3046, or through Randolph, Cleveland via phone (904) 746-3046.

Contact Information

Primary practice address
1891 Beach Blvd Jacksonville Beach FL 32250-2644
Phone: (904) 746-3046
Fax: (904) 249-2047
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Cleveland Doctor of Medicine (MD)
Phone: (904) 746-3046

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH28647 Florida

Profile Details

NPI number 1629467782
LBN Legal business name Cleveland Randolph, Jr, Md, Pa
DBA Doing business as C.W.Randolph'S Pharmacy
Authorized official Randolph, Cleveland Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2015
Last updated Jan 13th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629467782 NPPES
Florida Other PH28647 PHARMACY LICENSE

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