Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Vivian Bush Randolph, PHARMD

Individual provider Pharmacist · NPI 1679866347

Dr. Vivian Bush Randolph, PHARMD is a Pharmacist in Pooler, Georgia. Practices as a sole proprietor. Licensed in Georgia and South Carolina.

Licensed in
GA, SC
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

119 Canal St Ste 102
Pooler, GA 31322-4094
Phone: (912) 226-0857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 023968 (GA)
Pharmacist Taxonomy 183500000X · Licence 11996 (SC)

Record details

NPI number1679866347
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedMay 27, 2011
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

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