Provider Demographics
NPI:1760951917
Name:DARNEY, RANDY BOYDE JR (RPH)
Entity Type:Individual
Prefix:
First Name:RANDY
Middle Name:BOYDE
Last Name:DARNEY
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1471 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-3066
Mailing Address - Country:US
Mailing Address - Phone:814-237-4240
Mailing Address - Fax:814-237-4219
Practice Address - Street 1:1471 MARTIN ST
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-3066
Practice Address - Country:US
Practice Address - Phone:814-237-4240
Practice Address - Fax:814-237-4219
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044075L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist