Organization
MODERNHEALTH HOLDINGS INC
Active
Other names
MODERN HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CHOU (DIRECTOR, BUSINESS OPERATIONS)
(626) 932-1721
Entity
Organization
Contact information
Practice address
110 E HUNTINGTON DR, MONROVIA, CA 91016-3415
(626) 932-1600
(626) 605-5022
Mailing address
110 E HUNTINGTON DR, MONROVIA, CA 91016-3415
(626) 932-1600
(626) 605-5022
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY51001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1993198
PK
—
05
—
PHA440130
—
CA
Enumeration date
05/23/2005
Last updated
04/19/2017
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