Margrave, Randolph Ernest

Margrave, Randolph Ernest is an sole proprietor health care provider with primary practice located at 1702 Ridgewood Ave Ste C , Holly Hill FL 32117-5402. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Nutrition Support, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Margrave, Randolph Ernest can be contacted via phone (386) 677-7377.

Contact Information

Primary practice address
1702 Ridgewood Ave Ste C Holly Hill FL 32117-5402
Phone: (386) 677-7377
Fax: (844) 677-0739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nutrition Support 1835N1003X PU0002896 Florida
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS0020769 Florida
Pharmacy Service Providers / Pharmacist 183500000X PS0020769 Florida

Profile Details

NPI number 1679118343
LBN Legal business name Margrave, Randolph Ernest
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2019
Last updated Nov 16th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679118343 NPPES
Florida Other PS0020769 BOARD OF PHARMACY

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