Kudrick, Carlene Marie

Kudrick, Carlene Marie is an individual health care provider with primary practice located at 2102 N Prospect Ave , Champaign IL 61822-1231. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kudrick, Carlene Marie can be contacted via phone (217) 355-3345.

Contact Information

Primary practice address
2102 N Prospect Ave Champaign IL 61822-1231
Phone: (217) 355-3345
Fax: (217) 355-3345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 51036228 Illinois

Profile Details

NPI number 1467766519
LBN Legal business name Kudrick, Carlene Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2010
Last updated Jul 31st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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