| NPI | 1649285255 |
|---|---|
| Other Name | WEST MODESTO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NADA VICIJAN Pharmacist 209-529-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 52073) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-10-05 |