DAXA MODI

NAPERVILLE, IL
NPI1467739557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051-039464)
Enumeration Date2011-11-03
Last Update Date2011-11-03
Business Address
-- DAXA MODI pharmD
3035 BOOK RD
NAPERVILLE, IL 60564-4715
Phone number: 630-904-4971
Mailing Address
-- DAXA MODI pharmD
1708 FROST LN
NAPERVILLE, IL 60564-5165
Phone number: 630-904-4971
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