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NPI Code Detail

MEDICARE: MR. RANDALL RAYMOND ADAMS R.PH.

MEDICARE:  MR. RANDALL RAYMOND ADAMS  R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist35414TX

General Provider Information

NPI Number : 1346242260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RANDALL RAYMOND ADAMS R.PH.
Provider Business Mailing Address
First Line : 6104 AVENUE Q SOUTH DR
Second Line :
City : LUBBOCK
State : TX
Zip : 79412-3700
Country : US
Telephone Number : 806-472-3400
Fax Number :
Provider Business Practice Location Address
First Line : 6104 AVENUE Q SOUTH DR
Second Line :
City : LUBBOCK
State : TX
Zip : 79412-3700
Country : US
Telephone Number : 806-472-3400
Fax Number : 806-472-3433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/23/2007

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Directions to “ MR. RANDALL RAYMOND ADAMS R.PH.” Practice Location

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