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NPI Code Detail

MEDICARE: MR. KARL ANTHONY DUDA R.PH.

MEDICARE: MR. KARL ANTHONY DUDA R.PH.
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
1183500000XPharmacist5302027621MI

General Provider Information

NPI Number : 1780923383
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KARL ANTHONY DUDA R.PH.
Provider Business Mailing Address
First Line : 310 FAIRWAY DR
Second Line :
City : COLDWATER
State : MI
Zip : 49036-8614
Country : US
Telephone Number : 517-279-8785
Fax Number :
Provider Business Practice Location Address
First Line : 500 E CHICAGO ST
Second Line :
City : COLDWATER
State : MI
Zip : 49036-2042
Country : US
Telephone Number : 517-278-8272
Fax Number : 517-278-8352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2013
Last Update Date : 02/04/2013

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