Individual
VICKI RUNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110-5147
(206) 842-5632
(206) 842-5992
Mailing address
1100 OLIVE WAY # MS /M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00021670
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00021670
WA
1835P2201X
Ambulatory Care Pharmacist
PH00021670
WA
Other
Enumeration date
08/19/2006
Last updated
07/12/2021
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