DR. Vivian Bush Randolph, PHARMD

NPI #1679866347 in Pooler, Georgia

Provider Information

NPI Number: 1679866347
Entity Type: Individual
Name: DR. Vivian Bush Randolph, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: May 27, 2011
Last Updated: Mar 3, 2025

Practice Location

Address: 119 CANAL ST STE 102
City: Pooler
State: Georgia
ZIP Code: 31322-4094
Phone: (912) 226-0857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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