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NPI 1205359833

IndividualActive

Amanda Randolph

NPI 1205359833 · Pharmacist · Cookeville, TN

Provider details

NPI number: 1205359833
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Female
Sole proprietor: No
License: 41090 (TN)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 41090 (TN)
Pharmacy Service Providers

Practice location

500 S Willow Ave

Cookeville, TN 38501-3727

Phone: (931) 525-6240

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

5058 Burgess Falls Rd

Baxter, TN 38544-5319

Registry dates

Enumerated: 2017-07-25
Last updated: 2017-07-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Randolph — NPI 1205359833, Cookeville, TN | NPI Central