Alex Dudash, PHARM D
Individual provider Active NPI Pharmacist · Little Rock Afb, AR
NPI 1558873752 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1558873752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP451971 (PA)
- Practice address
- 1090 Arnold Dr
Little Rock Afb, AR 72099-4933 - Phone
- (501) 987-8811
- NPI assigned
- Oct 27, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP451971 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP451971 | PA | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Mailing address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-8811
Other providers in Little Rock Afb, AR
- Ashley Brett Coolman
- Thomas Richard Degraff III
- Patrick Depriest
- Mylinda Lou Dill
- Geriann T Dillender
- Matthew Joe Edwards
- Tracy Shawn Edwards
- Tamara Lilloux Elsen
- Drew Ferguson
- Gena Rochelle Garrett
All providers in Little Rock Afb, AR · Pharmacist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.