Organization
FENTON PHARMACY RX MI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKETU MODI (PHARMACY OWNER)
(810) 354-8503
Entity
Organization
Contact information
Practice address
305 N LEROY STREET, STE A, FENTON, MI 48430
(810) 354-8500
(810) 354-8503
Mailing address
305 N LEROY ST STE A, FENTON, MI 48430-2729
(810) 354-8500
(810) 354-8503
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
12/11/2025
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