Individual
MADISON MODANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
451 E WONDERVIEW AVE, ESTES PARK, CO 80517-9647
(970) 577-8226
Mailing address
816 ACOMA ST UNIT 1404, DENVER, CO 80204-4071
(317) 656-0666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024154
CO
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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