Individual
JACINTA M HUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 S 5TH ST, ALLENTOWN, PA 18103-4925
(610) 791-7796
Mailing address
6139 POND VIEW TER, BATH, PA 18014-9090
(610) 837-1406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP041698L
PA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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