A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Radiology |
213ER0200X | 48 | Podiatry | |
Sports Medicine |
213ES0000X | 48 | Podiatry | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1093869851 |
||||||||
| LBN Legal business name | TIMOTHY C. RUNYON, D.P.M. P.A. | ||||||||
| Authorized official | KYLE KINMON - (PROVIDER/OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/22/2007 | ||||||||
| Last updated | 10/09/2024 - More than a year ago | ||||||||
| Identifiers |
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