DR. Randall Wayne Castellaw

NPI #1801488945 in Bolivar, Tennessee

Provider Information

NPI Number: 1801488945
Entity Type: Individual
Name: DR. Randall Wayne Castellaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 10, 2021
Last Updated: Feb 10, 2021

Practice Location

Address: 600 NUCKOLLS RD
City: Bolivar
State: Tennessee
ZIP Code: 38008-1532
Phone: (731) 658-5207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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