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NPI Code Detail

MEDICARE: MR. CRAIG H CUDDY

MEDICARE: MR. CRAIG H CUDDY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202207095VA

General Provider Information

NPI Number : 1568883486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CRAIG H CUDDY
Provider Business Mailing Address
First Line : 2533 GERMANNA HWY
Second Line :
City : LOCUST GROVE
State : VA
Zip : 22508-2130
Country : US
Telephone Number : 540-317-4508
Fax Number : 540-317-4502
Provider Business Practice Location Address
First Line : 2533 GERMANNA HWY
Second Line :
City : LOCUST GROVE
State : VA
Zip : 22508-2130
Country : US
Telephone Number : 540-317-4508
Fax Number : 540-317-4502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2013
Last Update Date : 12/18/2013

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Directions to “ MR. CRAIG H CUDDY ” Practice Location

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