Mcdonough, Randy Patrick

Mcdonough, Randy Patrick is an sole proprietor health care provider with primary practice located at 2306 Muscatine Ave , Iowa City IA 52240-6637. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Mcdonough, Randy Patrick can be contacted via phone (319) 337-3526.

Contact Information

Primary practice address
2306 Muscatine Ave Iowa City IA 52240-6637
Fax: (319) 337-5271
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 16918 Iowa

Profile Details

NPI number 1255332052
LBN Legal business name Mcdonough, Randy Patrick
Credentials PHARM.D., M.S., BCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255332052 NPPES
Iowa MEDICAID 0006585

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