Organization
FENTON PHARMACY RX MI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKETU MODI (OWNER)
(810) 354-8500
Entity
Organization
Contact information
Practice address
305 N LEROY ST STE A, FENTON, MI 48430-2729
(810) 354-8500
(810) 354-8503
Mailing address
305 N LEROY ST STE A, FENTON, MI 48430-2729
(810) 354-8500
(810) 354-8503
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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