Individual
LORI RUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51467 STATE ROAD 933, SOUTH BEND, IN 46637-1617
(574) 243-0908
(574) 243-0413
Mailing address
51467 STATE ROAD 933, SOUTH BEND, IN 46637-1617
(574) 243-0908
(574) 243-0413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018900A
IN
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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