Smith, Randal Mark

Smith, Randal Mark is an individual health care provider with primary practice located at 2424 E Clairmont Ave , Eau Claire WI 54701-6773. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Smith, Randal Mark can be contacted via phone (715) 834-7380.

Contact Information

Primary practice address
2424 E Clairmont Ave Eau Claire WI 54701-6773
Phone: (715) 834-7380
Fax: (715) 834-1034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13807-040 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 042252 Missouri
Pharmacy Service Providers / Pharmacist 183500000X 9562 Oklahoma

Profile Details

NPI number 1578874152
LBN Legal business name Smith, Randal Mark
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Jun 29th, 2010 - about 14 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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