Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VIVIAN BUSH RANDOLPH, PHARMD
Active Sole ProprietorDR. VIVIAN BUSH RANDOLPH, PHARMD is a Pharmacist healthcare provider located in POOLER, Georgia. NPI 1679866347 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · POOLER, GA
Registration Details
- NPI Number
- 1679866347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2011 (15.029553950063 yrs)
- Last Updated
- Mar 3, 2025
- Licenses
-
023968 (GA)11996 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 CANAL ST STE 102POOLER, GA, 313224094Browse GA providers · Browse ZIP 31322
- Phone
- 9122260857
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in POOLER, GA
| Name | Credential | NPI |
|---|---|---|
| JIMMY MIKE TAYLOR | — | 1053528984 |
| CHAD TROCCIA | RPH | 1417277377 |
| SABRINA Y WESTENBARGER | RPH | 1073817342 |
| KRISTY HARDEN MARONIE | PHARMACIST | 1326347352 |
| DR. KRISTINE LEAZER HANNIFIN | — | 1427395482 |
| DR. BENJAMIN JOSEPH COURSEY | PHARM.D. | 1205173044 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.