Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASUNDHARA MODI (PHARMACIST)
(508) 762-6519
Entity
Organization
Contact information
Practice address
2800 S 4TH AVE, YUMA, AZ 85364-8110
(928) 344-2341
Mailing address
2200 S AVENUE B APT A110, YUMA, AZ 85364-6175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020279
AZ
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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