Provider Demographics
NPI:1255464947
Name:BEDNARSKI, DUCHI M
Entity type:Individual
Prefix:MS
First Name:DUCHI
Middle Name:M
Last Name:BEDNARSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2184 HERNDON ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6614
Mailing Address - Country:US
Mailing Address - Phone:334-821-2813
Mailing Address - Fax:
Practice Address - Street 1:5841 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-2109
Practice Address - Country:US
Practice Address - Phone:334-277-9676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist