Carlene Marie Kudrick

NPI #1467766519 in Champaign, Illinois

Provider Information

NPI Number: 1467766519
Entity Type: Individual
Name: Carlene Marie Kudrick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 31, 2010
Last Updated: Jul 31, 2010

Practice Location

Address: 2102 N PROSPECT AVE
City: Champaign
State: Illinois
ZIP Code: 61822-1231
Phone: (217) 355-3345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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