Individual
MODUPE MARY FAMODIMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
5501 INDEPENDENCE PKWY STE 311, PLANO, TX 75023-5468
(832) 755-3078
Mailing address
8055 WINDROSE AVE APT 3121, PLANO, TX 75024-0268
(832) 755-3078
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
53736
TX
Other
Enumeration date
09/09/2013
Last updated
04/14/2022
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