Organization
PROVERI VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USOF HASHIM PHARMD (MANAGING MEMBER/PHARMACIST)
(240) 481-3128
Entity
Organization
Contact information
Practice address
1524 MCHENRY AVE STE 160, MODESTO, CA 95350-4575
(209) 662-7272
(209) 795-4316
Mailing address
1524 MCHENRY AVE STE 160, MODESTO, CA 95350-4575
(209) 662-7272
(209) 795-4316
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
12/17/2025
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