Individual
MR. DMITRIY V. DUDENKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
3000 DUNN AVE, JACKSONVILLE, FL 32218-4598
(904) 924-9541
Mailing address
14246 SEA EAGLE DR, JACKSONVILLE, FL 32226-5861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46556
FL
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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