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NPI Code Detail

MEDICARE: SHANNON LEIGH DUDICH PHARMD

MEDICARE:   SHANNON LEIGH DUDICH  PHARMD
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
1183500000XPharmacistRP455095PA

General Provider Information

NPI Number : 1043814106
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON LEIGH DUDICH PHARMD
Provider Business Mailing Address
First Line : 7406 CHURCH ST
Second Line :
City : SWISSVALE
State : PA
Zip : 15218-2431
Country : US
Telephone Number : 412-271-6733
Fax Number :
Provider Business Practice Location Address
First Line : 7406 CHURCH ST
Second Line :
City : SWISSVALE
State : PA
Zip : 15218-2431
Country : US
Telephone Number : 412-271-6733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2020
Last Update Date : 11/29/2020

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Directions to “ SHANNON LEIGH DUDICH PHARMD” Practice Location

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