# MODERN MEDICAL SERVICE INC

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

## Provider details

- **NPI number:** 1356223978
- **Authorized official:** TRAVIS WOIDERSKI (VICE PRESIDENT)
- **Authorized official phone:** (231) 627-9949

## Contact information

- **Practice address:** 127 N MAIN ST, CHEBOYGAN, MI 49721-1637
- **Practice address phone:** (231) 627-9949
- **Practice address fax:** (231) 627-8294
- **Mailing address:** PO BOX 345, CHEBOYGAN, MI 49721-0345
- **Mailing address phone:** (231) 627-9949
- **Mailing address fax:** (231) 627-8294

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 07/24/2025