Provider Demographics
NPI:1467657163
Name:RUNYON, DUNCAN JOSEPH JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:DUNCAN
Middle Name:JOSEPH
Last Name:RUNYON
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 POWELL CIR
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1185
Mailing Address - Country:US
Mailing Address - Phone:410-208-0488
Mailing Address - Fax:
Practice Address - Street 1:1611 N PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-3650
Practice Address - Country:US
Practice Address - Phone:410-289-6513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist