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GEORGE F. KLODA PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1023349990

Individual Registrant:
 GEORGE F. KLODA PHARMACIST
Gender: M
Sole Proprietor

Location and contact information for practice:
1 RUSSELL RD  ELIOT, ME 03903-1332 US
Tel: 207-439-8343  Fax: --

Contact information for business:
1 RUSSELL RD  ELIOT, ME 03903-1332 US
Tel: 207-439-8343  Fax: --

Registration Information:
NPI: 1023349990
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
IL05128345
N183500000XPharmacy Service Providers
Pharmacist
NHR0681
Y183500000XPharmacy Service Providers
Pharmacist
MER3010

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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