DIVYESH MODI

BLOOMFIELD, NJ
NPI1588078133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NJ  28ri03203100)
Enumeration Date2014-06-11
Last Update Date2023-01-25
Business Address
DIVYESH MODI
77-105 BLOOMFIELD AVE
BLOOMFIELD, NJ 07003-5985
Phone number: 973-259-9290
Mailing Address
DIVYESH MODI
77-105 BLOOMFIELD AVE
BLOOMFIELD, NJ 07003-5985
Phone number: 973-356-8126