Individual
PRAKRUTI MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 S 27TH ST, FRANKLIN, WI 53132-9430
(414) 761-9571
(414) 761-3106
Mailing address
6701 S 27TH ST, FRANKLIN, WI 53132-9430
(414) 761-9571
(414) 761-3106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17683-40
WI
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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