Individual
LAURA L RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
416 E MAUMEE ST, ANGOLA, IN 46703-2001
(260) 665-2141
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016895A
IN
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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