Individual
KELVIN V UDOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
101 LILY CACHE LN, BOLINGBROOK, IL 60440-4895
(630) 759-3011
Mailing address
11550 S OLYMPIC DR, PLAINFIELD, IL 60585-6146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.289588
IL
183500000X
Pharmacist
2005005260
MO
183500000X
Pharmacist
26021584A
IN
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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