Individual
MS. ANITA KAREN RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1357 BRICKYARD RD, CHIPLEY, FL 32428-2467
(850) 638-0424
(850) 638-9371
Mailing address
3794 WOODHAM RD, GRACEVILLE, FL 32440-7710
(850) 263-1870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS22522
FL
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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