NPI | 1629637129 |
---|---|
Doing Business As | MODERN RX |
Entity Type | Organization |
Authorized Contact | AIMEE BROWN Manager 510-366-9707 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-06-07 |