IndividualActive
Carissa Runde, PHARMD
NPI 1093301863 · Pharmacist · Mattoon, IL
Carissa Runde, PHARMD is a Pharmacist provider in Mattoon, IL (NPI 1093301863).
Provider details
- NPI number
- 1093301863
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 051.294331 (IL)
Practice location
1316 Charleston Ave
Mattoon, IL 61938-4016
Phone: (217) 258-2920
Street-level locationGet directions
Mailing address
710 Wooden Shoe Rd
Teutopolis, IL 62467-1203
Registry dates
- Enumerated
- 2020-12-16
- Last updated
- 2020-12-16
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.