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Individual

MRS. MELISSA A HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
011687
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
26021042A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011687
KY BOARD OF PHARMACY
KY
01
26021042A
IN BOARD OF PHARMACY
IN
Enumeration date
02/15/2010
Last updated
11/11/2013
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