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Organization

MODESTO DRUG LLC

Active
Other names
MODESTO PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PRATAP KRISHNA ANNE (PHARMACY OWNER)
(209) 298-1715
Entity
Organization

Contact information

Practice address
1801 H ST STE D1, MODESTO, CA 95354-1221
(209) 298-1715
(559) 369-2408
Mailing address
1801 H ST STE D1, MODESTO, CA 95354-1221
(209) 298-1715
(559) 369-2408

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
08/01/2024
Last updated
08/01/2024
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