Provider Demographics
NPI:1669711883
Name:RUNYORA, STEPHEN KIHAGI (RPH)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:KIHAGI
Last Name:RUNYORA
Suffix:
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 1:2509 VIA SORBETE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-1352
Mailing Address - Country:US
Mailing Address - Phone:760-687-5982
Mailing Address - Fax:
Practice Address - Street 1:2509 VIA SORBETE
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-1352
Practice Address - Country:US
Practice Address - Phone:760-687-5982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist