Provider Demographics
NPI:1851669014
Name:MEUSER, RANDALL F (RPH)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:F
Last Name:MEUSER
Suffix:
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 1:9950 ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9325
Mailing Address - Country:US
Mailing Address - Phone:847-669-7590
Mailing Address - Fax:847-669-7928
Practice Address - Street 1:9950 ROUTE 47
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-9325
Practice Address - Country:US
Practice Address - Phone:847-669-7590
Practice Address - Fax:847-669-7928
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051031080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist