Individual
AMY PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3900 PELANDALE AVE STE 500A, MODESTO, CA 95356-9104
(209) 545-0766
Mailing address
4121 DALE RD APT 120, MODESTO, CA 95356-9513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77508
CA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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