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NPI Code Detail

MEDICARE: RANDALL KNIGHT RPH

MEDICARE:   RANDALL  KNIGHT  RPH
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
1183500000XPharmacistRPH36915CA

General Provider Information

NPI Number : 1023393725
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDALL KNIGHT RPH
Provider Business Mailing Address
First Line : 100 GEORGIA ST
Second Line :
City : REDLANDS
State : CA
Zip : 92374-4141
Country : US
Telephone Number : 909-793-6957
Fax Number :
Provider Business Practice Location Address
First Line : 1634 E HIGHLAND AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-4616
Country : US
Telephone Number : 909-882-2836
Fax Number : 909-882-9015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2011
Last Update Date : 10/14/2011

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Directions to “ RANDALL KNIGHT RPH” Practice Location

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