MEDICARE: MR. DUNCAN JOSEPH RUNYON JR. RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	9851	MD

General Provider Information

NPI Number	:	1467657163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DUNCAN JOSEPH RUNYON JR. RPH

Provider Business Mailing Address
First Line	:	249 POWELL CIR
Second Line	:
City	:	BERLIN
State	:	MD
Zip	:	21811-1185
Country	:	US
Telephone Number	:	410-208-0488
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 N PHILADELPHIA AVE
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-3650
Country	:	US
Telephone Number	:	410-289-6513
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	07/08/2007

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