Individual provider · Type 1 NPI

Marc John Kudzol, RPH

Pharmacist · Port Orange, FL

NPI number 1326329640 Active

Practice location

1650 Dunlawton Ave
Port Orange, FL 32127-4754

Fax (386) 322-9321

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PS0020054 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1326329640

Marc John Kudzol, RPH's National Provider Identifier is 1326329640, issued on Aug 31, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 31, 2011.