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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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