Individual
CARLENE MARIE KUDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 N PROSPECT AVE, CHAMPAIGN, IL 61822-1231
(217) 355-3345
(217) 355-3345
Mailing address
2102 N PROSPECT AVE, CHAMPAIGN, IL 61822-1231
(217) 355-3345
(217) 355-3345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51036228
IL
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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