Individual
MICHAEL B UDOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
700 FREDERICK BLVD, PORTSMOUTH, VA 23707-3314
(757) 391-9123
(757) 391-9140
Mailing address
700 FREDERICK BLVD, PORTSMOUTH, VA 23707-3314
(757) 391-9123
(757) 391-9140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217872
VA
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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