| NPI | 1629808001 |
|---|---|
| Doing Business As | MODESTO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRATAP KRISHNA ANNE Pharmacy Owner 209-298-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |