Organization
FLORIDA AVENUE PRESCRIPTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VICTOR PARDINI PHARM.D. (OWNER)
(209) 576-7277
Entity
Organization
Contact information
Practice address
1541 FLORIDA AVE, SUITE P, MODESTO, CA 95350-4429
(209) 576-7277
(209) 576-1220
Mailing address
1541 FLORIDA AVE, SUITE P, MODESTO, CA 95350-4429
(209) 576-7277
(209) 576-1220
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY38942
CA
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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