Brian Randall

Pharmacist · Canton, MI

Individual Active NPI

NPI number 1063010262

Practice location

41460 Haggerty Cir S
Canton, MI 48188-2227
Phone
(734) 477-9800

Open in Google Maps

NPI record

NPI
1063010262
Entity type
Individual (Type 1)
Enumeration date
October 12, 2020
Last updated
October 12, 2020
Certified
October 12, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 5302412585 MI

Mailing address

719 Virginia Park St
Detroit, MI 48202-2011

About Brian Randall

Brian Randall is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 41460 Haggerty Cir S, Canton, MI 48188-2227. The NPI number 1063010262 was assigned on October 12, 2020 and the record was last updated on October 12, 2020.

Brian Randall lists a license in the registry: #5302412585 (MI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Randall?

The NPI number is 1063010262.

What is the phone number of Brian Randall?

The phone number listed for the practice location is (734) 477-9800.

Where is Brian Randall located?

41460 Haggerty Cir S, Canton, MI 48188-2227.

What is the taxonomy code for Brian Randall?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Canton

All Pharmacist providers in Canton, MI →