Provider Demographics
NPI:1558388272
Name:DEAL, RANDALL MORRIS SR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:MORRIS
Last Name:DEAL
Suffix:SR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 S STOCKADE CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-9530
Mailing Address - Country:US
Mailing Address - Phone:480-580-7443
Mailing Address - Fax:480-988-5745
Practice Address - Street 1:8454 S POWER RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-8027
Practice Address - Country:US
Practice Address - Phone:480-988-7287
Practice Address - Fax:480-988-7288
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39696183500000X
AZ83181835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy