Individual provider · Type 1 NPI

Logan Randolph

Pharmacist · Poplar Bluff, MO

NPI number 1215537758 Active

Practice location

333 S Westwood Blvd
Poplar Bluff, MO 63901-5519

Call (573) 686-6539 Map

Mailing address

976 Sunny Valley Ln
Poplar Bluff, MO 63901-6679

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2016020572 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1215537758

Logan Randolph's National Provider Identifier is 1215537758, issued on Oct 26, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Oct 26, 2020.