Whalio Doctors

NPI 1134158199

Randalls Food & Drugs LP

Organisation Community/Retail Pharmacy Grand Prairie, TX

Practice location

Address
4215 S Carrier Pkwy, Grand Prairie, TX 75052-3203
Phone
(972) 266-7056
Fax
(972) 266-7087
Mailing address
250 E Parkcenter Blvd, Boise, ID 83706-3940

Authorised official

Name
Kathy Giannakopoulos
Title
Enrollments Manager
Phone
(208) 395-3954

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X Licence 22116 (TX)

Registry record

NPI
1134158199
Entity type
Organization
NPI issued
2 Jul 2006
Record last updated
5 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.