Provider Demographics
NPI:1447572581
Name:TUNISON, JUDITH MARGARET (RPH)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:MARGARET
Last Name:TUNISON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 SW WANAMAKER RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3813
Mailing Address - Country:US
Mailing Address - Phone:785-273-4040
Mailing Address - Fax:785-273-6732
Practice Address - Street 1:1740 SW WANAMAKER RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3813
Practice Address - Country:US
Practice Address - Phone:785-273-4040
Practice Address - Fax:785-273-6732
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist