Individual
LEEANN R MODGLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14882 BLANCO RD, SAN ANTONIO, TX 78216-7715
(210) 764-8736
(210) 764-8715
Mailing address
14882 BLANCO RD, SAN ANTONIO, TX 78216-7715
(210) 764-8736
(210) 764-8715
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
46312
TX
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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