Individual
KHUSHBOO MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9200 W WISCONSIN AVE STE 100E, MILWAUKEE, WI 53226-3522
(414) 805-6500
Mailing address
4800 S 119TH ST, GREENFIELD, WI 53228-3007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16963-40
WI
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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