Individual provider · Type 1 NPI

Audrey Vanetten-Runte, PharmD, PA-C

Pharmacist · Middleburg, FL

NPI number 1912188657 Active

Practice location

430 College Dr, Suites 100, 102, 104
Middleburg, FL 32068-8530

Call (904) 730-5774 Map

Mailing address

PO Box 66087
Orange Park, FL 32065-0019

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9104243 (FL)
Pharmacist Primary 183500000XPS33649 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1912188657

Audrey Vanetten-Runte, PharmD, PA-C's National Provider Identifier is 1912188657, issued on Nov 23, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Middleburg, FL. The record was last updated on Dec 6, 2012.