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Organization
PROMOD RX, LLC
Active
Organization
PROMOD RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM TON PHARMD (PHARMACIST IN CHARGE)
(800) 662-0586
Entity
Organization
Contact information
Practice address
2650 SW 145TH AVE, MIRAMAR, FL 33027-6606
(855) 305-8500
(833) 220-7665
Mailing address
2650 SW 145TH AVE, MIRAMAR, FL 33027-6606
(855) 305-8500
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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