Individual
MR. CARL PHILLIP MUDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2011 COYNE ST, HONOLULU, HI 96826-1334
(808) 946-0064
(808) 949-7131
Mailing address
2011 COYNE ST, HONOLULU, HI 96826-1334
(808) 946-0064
(808) 949-7131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1636
HI
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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