Organization Name: | RANDALLS FOOD AND DRUGS LP |
NPI Number: | 1104855170 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITA CALARA (MANAGED CARE PLAN SPECIALIST) |
Mailing Address: | 2250 Buckthorne Place Spring |
State: | TX US |
Postal Code: | 773801739 |
Phone Number: | 2813675870 |
Fax Number: | 2813670498 |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 22033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |