Malan, Randy Dale

Malan, Randy Dale is an individual health care provider with primary practice located at 401 N 4Th St First Floor, Springfield IL 62702-5255. He recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as his primary health care specialty. Malan, Randy Dale can be contacted via phone (217) 785-8983.

Contact Information

Primary practice address
401 N 4Th St First Floor Springfield IL 62702-5255
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X Illinois

Profile Details

NPI number 1407853609
LBN Legal business name Malan, Randy Dale
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 17 years 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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