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1194144394
ASHISH G MODI
SHREVEPORT, LA
NPI
1194144394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 16596)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
-- ASHISH G MODI Pharm.D
6235 WESTPORT AVE
SHREVEPORT, LA 71129-2503
Phone number: 318-688-7911
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Mailing Address
-- ASHISH G MODI Pharm.D
6235 WESTPORT AVE
SHREVEPORT, LA 71129-2503
Phone number: 318-688-7911
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