Provider Demographics
NPI:1790146975
Name:RUNYON, BRITNEY (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:BRITNEY
Middle Name:
Last Name:RUNYON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 S PENOBSCOT CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-4315
Mailing Address - Country:US
Mailing Address - Phone:864-436-0952
Mailing Address - Fax:
Practice Address - Street 1:23 S PENOBSCOT CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-4315
Practice Address - Country:US
Practice Address - Phone:864-436-0952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist