Individual
DIANE JUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1513 N HOWE ST, SUITE 8, SOUTHPORT, NC 28461-2769
(910) 454-9090
Mailing address
2720 SHADY PINE CIR, SOUTHPORT, NC 28461-8239
(410) 340-7260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13068
NC
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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