Provider Demographics
NPI:1164185161
Name:BUDNIK, KAMIL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAMIL
Middle Name:
Last Name:BUDNIK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 OVERLOOK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-2301
Mailing Address - Country:US
Mailing Address - Phone:860-357-7189
Mailing Address - Fax:
Practice Address - Street 1:308 BERLIN TPKE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-1506
Practice Address - Country:US
Practice Address - Phone:860-829-0800
Practice Address - Fax:860-828-0862
Is Sole Proprietor?:No
Enumeration Date:2021-10-16
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0015013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist