Organization
MODERN DRUG INC
Active
Other names
MODERN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CHAN B LUONG RPH (PRESIDENT)
(559) 266-0701
Entity
Organization
Contact information
Practice address
3044 TULARE ST, FRESNO, CA 93721
(559) 266-0701
(559) 266-2438
Mailing address
3044 TULARE ST, FRESNO, CA 93721
(559) 266-0701
(559) 266-2438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY43219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA432190
—
CA
Enumeration date
02/09/2006
Last updated
03/25/2010
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