Kim Ellen Runge, RPH

Individual provider Active NPI Pharmacist · Saipan, MP

NPI 1346855657 · NPPES record last updated Sep 14, 2020

Key facts

NPI
1346855657
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
3136 (MT)
Practice address
Commonwealth Health Center
1 Navy Hill Dr
Saipan, MP 96950
Phone
(670) 234-8950
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3136MTMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3136 MT Yes

Addresses

Primary practice location

Commonwealth Health Center
1 Navy Hill Dr
Saipan, MP 96950

Mailing address

PO Box 10003 PMB 81
Saipan, MP 96950
Phone (670) 783-5159

Other providers in Saipan, MP

All providers in Saipan, MP · Pharmacist in Northern Mariana Islands

Sources for this page

Verify at the official NPI Registry.