Vivian Bush Randolph, PHARMD Valid NPI

Individual provider · Pharmacist · Pooler, GA

NPI

1679866347

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

023968 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-05-27

Last updated

2025-03-03