Randolph Ernest Margrave, RPH

NPI #1679118343 in Holly Hill, Florida

Provider Information

NPI Number: 1679118343
Entity Type: Individual
Name: Randolph Ernest Margrave, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 16, 2019
Last Updated: Nov 16, 2019

Practice Location

Address: 1702 RIDGEWOOD AVE STE C
City: Holly Hill
State: Florida
ZIP Code: 32117-5402
Phone: (386) 677-7377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist - Nutrition Support — Nutrition Support	1835N1003X
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X
Pharmacist	183500000X	Primary

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