Runde, Carissa
Runde, Carissa is an sole proprietor health care provider with primary practice located at 1316 Charleston Ave , Mattoon IL 61938-4016. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Runde, Carissa can be contacted via phone (217) 258-2920.Contact Information
Primary practice address
1316 Charleston Ave
Mattoon IL 61938-4016
Phone: (217) 258-2920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051.294331 | Illinois |
Profile Details
| NPI number | 1093301863 |
|---|---|
| LBN Legal business name | Runde, Carissa |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2020 |
| Last updated | Dec 16th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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