Petra Alice Runckel, PHARMD

NPI #1659095768 in Dallas, Oregon

Provider Information

NPI Number
1659095768
Entity Type
Individual
Name
Petra Alice Runckel, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Oct 3, 2022
Last Updated
Oct 3, 2022

Practice Location

Address
525 SE WASHINGTON ST
City
Dallas
State
Oregon
ZIP Code
97338-2834
Phone
(503) 623-7306

Specialties & Taxonomy Codes

Specialty
Pharmacist

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