Randolph, Richard
Randolph, Richard is an sole proprietor health care provider with primary practice located at 1277 Mcarthur St , Manchester TN 37355-2423. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Randolph, Richard can be contacted via phone (931) 728-1100.Contact Information
Primary practice address
1277 Mcarthur St
Manchester TN 37355-2423
Phone: (931) 728-1100
Fax: (931) 723-4137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 8651 | Tennessee |
Profile Details
| NPI number | 1649240953 |
|---|---|
| LBN Legal business name | Randolph, Richard |
| Credentials | PHARM. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jun 23rd, 2020 - about 4 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 | 1649240953 | NPPES |
| Tennessee | Other | 4000588 | BLUECROSS BLUESHIELD |
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