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
Phone: (319) 337-3526
Fax: (319) 337-5271
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255332052 | NPPES |
Iowa | MEDICAID | 0006585 |
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