Olivia Clark Randolph, is a
Pharmacist based in Mc Ewen, Tennessee. Olivia Clark Randolph is licensed to practice in Tennessee (license number 47523) and her current practice location is
10033 Us Highway 70 E, Mc Ewen, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 582-8808.
NPI number for Olivia Clark Randolph is 1700575230 and her current mailing address is 10888 Highway 49, Erin, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700575230.
Healthcare Provider's Profile
| Full Name | Olivia Clark Randolph |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 10033 Us Highway 70 E, Mc Ewen, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700575230
- Provider Enumeration Date: 05/02/2023
- Last Update Date: 09/07/2023
Medical Identifiers
Medical identifiers for Olivia Clark Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700575230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 47523 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olivia Clark Randolph is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Olivia Clark Randolph,
10888 Highway 49,
Erin, TN 37061-4908
Ph: () - | Olivia Clark Randolph,
10033 Us Highway 70 E,
Mc Ewen, TN 37101-4490
Ph: (931) 582-8808 |
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