Randall, Robert

Randall, Robert is an individual health care provider with primary practice located at 76-78 Main St , Hudson Falls NY 12839. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Randall, Robert can be contacted via phone (518) 747-5624.

Contact Information

Primary practice address
76-78 Main St Hudson Falls NY 12839
Phone: (518) 747-5624
Fax: (518) 747-5104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 031929 New York

Profile Details

NPI number 1891977476
LBN Legal business name Randall, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 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 1891977476 NPPES
New York MEDICAID 01211870

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