Individual
BRYAN ALEXANDER CHUDNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
820 N SAMUEL MOORE PKWY, MOORESVILLE, IN 46158-1467
(317) 483-5000
Mailing address
3764 MAPLE RIDGE DR, COLUMBUS, IN 47201-5754
(414) 380-0265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
25226
NC
1835P2201X
Ambulatory Care Pharmacist
Primary
26027954A
IN
Other
Enumeration date
08/07/2018
Last updated
09/06/2023
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