Individual
JAGRUTIBAHEN SOMABHAI MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 CORDES DR STE A, SUGAR LAND, TX 77479-1353
(281) 277-7623
(346) 275-2366
Mailing address
9906 SPRINGFIELD RIDGE DR, KATY, TX 77494-1924
(713) 304-1854
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
33852
TX
Other
Enumeration date
07/01/2021
Last updated
10/21/2024
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