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Organization
MODERNHEALTH HOLDINGS INC
Active
Organization
MODERNHEALTH HOLDINGS INC
Active
Other names
MODERN HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CHOU (DIRECTOR, BUSINESS OPERATIONS)
(626) 932-1721
Entity
Organization
Contact information
Practice address
110 E HUNTINGTON DR, MONROVIA, CA 91016-3415
(626) 932-1600
(626) 605-5022
Mailing address
110 E HUNTINGTON DR, MONROVIA, CA 91016-3415
(626) 932-1600
(626) 605-5022
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY51001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1993198
PK
—
05
—
PHA440130
—
CA
Enumeration date
05/23/2005
Last updated
04/19/2017
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