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Randal Wayne Phillips

Pharmacist in Nokomis, FL. Individual provider (NPI-1).

NPI number1982974127
StatusActive
Last updated in NPPESJan 5, 2012

Details

NPI
1982974127
Entity type
Individual (NPI-1)
Name
Mr. Randal Wayne Phillips
Sex
Male
Sole proprietor
No
Enumeration date
Jan 5, 2012
Last updated
Jan 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistps0026967FLYes

Practice location

1120 Tamiami Trl N
Nokomis, FL 34275-2158

Phone 941-441-2909 · Fax 941-488-3247

Mailing address

1120 Tamiami Trl N
Nokomis, FL 34275-2158

Phone 941-441-2909 · Fax 941-488-3247

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