Malan, Randy Dale
Malan, Randy Dale is an individual health care provider with primary practice located at 401 N 4Th St First Floor, Springfield IL 62702-5255. He recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as his primary health care specialty. Malan, Randy Dale can be contacted via phone (217) 785-8983.Contact Information
Primary practice address
401 N 4Th St First Floor
Springfield IL 62702-5255
Phone: (217) 785-8983
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Psychiatric | 1835P1300X | Illinois |
Profile Details
| NPI number | 1407853609 |
|---|---|
| LBN Legal business name | Malan, Randy Dale |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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