Individual
ALICIA MODLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1541 SE 3RD ST STE 100, GRIMES, IA 50111-8878
(515) 986-4527
Mailing address
1541 SE 3RD ST STE 100, GRIMES, IA 50111-8878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18350
IA
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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