Davidson, Randy

Davidson, Randy is an individual health care provider with primary practice located at 1301 Clinic Dr , Tyler TX 75701-2120. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Nuclear, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Davidson, Randy can be contacted via phone (903) 592-8115.

Contact Information

Primary practice address
1301 Clinic Dr Tyler TX 75701-2120
Phone: (903) 592-8115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nuclear 1835N0905X 108010194 Texas
Pharmacy Service Providers / Pharmacist 183500000X 43880 Texas

Profile Details

NPI number 1336900588
LBN Legal business name Davidson, Randy
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2024
Last updated Jan 24th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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