Individual
MAYANK MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 JOHN HAWKINS PKWY, HOOVER, AL 35244-4001
(205) 733-0055
Mailing address
2780 JOHN HAWKINS PKWY, HOOVER, AL 35244-4001
(205) 733-0055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S12197
AL
Other
Enumeration date
03/05/2021
Last updated
04/26/2024
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