Provider Demographics
NPI:1740271030
Name:LUDWICZAK, MARIA CHRISTINE (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CHRISTINE
Last Name:LUDWICZAK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 PERSHING DR
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-5924
Mailing Address - Country:US
Mailing Address - Phone:724-339-8404
Mailing Address - Fax:724-224-9462
Practice Address - Street 1:301 CORBET ST
Practice Address - Street 2:
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-1877
Practice Address - Country:US
Practice Address - Phone:724-224-9100
Practice Address - Fax:724-224-9462
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034437L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist