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RANDALL HASKELL HOOPER RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1164019014

Individual Registrant:
 RANDALL HASKELL HOOPER RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
4725 N OCEAN DR  LAUDERDALE BY THE SEA, FL 33308-2914 US
Tel: 954-942-8648  Fax: --

Contact information for business:
2625 NE 10TH TER  WILTON MANORS, FL 33334-3713 US
Tel: --  Fax: --

Registration Information:
NPI: 1164019014
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS31066

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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