MEDICARE: MRS. MARIA CHRISTINE LUDWICZAK RPH

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
1	183500000X	Pharmacist	RP034437L	PA

General Provider Information

NPI Number	:	1740271030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA CHRISTINE LUDWICZAK RPH

Provider Business Mailing Address
First Line	:	339 PERSHING DR
Second Line	:
City	:	NEW KENSINGTON
State	:	PA
Zip	:	15068-5924
Country	:	US
Telephone Number	:	724-339-8404
Fax Number	:	724-224-9462

Provider Business Practice Location Address
First Line	:	301 CORBET ST
Second Line	:
City	:	TARENTUM
State	:	PA
Zip	:	15084-1877
Country	:	US
Telephone Number	:	724-224-9100
Fax Number	:	724-224-9462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/08/2007

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