# FENTON PHARMACY RX MI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114881448
- **Authorized official:** SUKETU MODI (OWNER)
- **Authorized official phone:** (810) 354-8500

## Contact information

- **Practice address:** 305 N LEROY ST STE A, FENTON, MI 48430-2729
- **Practice address phone:** (810) 354-8500
- **Practice address fax:** (810) 354-8503
- **Mailing address:** 305 N LEROY ST STE A, FENTON, MI 48430-2729
- **Mailing address phone:** (810) 354-8500
- **Mailing address fax:** (810) 354-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 12/11/2025