NY MIM

MODESTO, CA
NPI1689651309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  48317)
Enumeration Date2005-12-22
Last Update Date2007-08-14
Business Address
-- NY MIM pharm d
2100 STANDIFORD AVE
MODESTO, CA 95350-6522
Phone number: 209-577-1350
Mailing Address
-- NY MIM pharm d
4000 BELLA TUSCANY DR
MODESTO, CA 95356-9339
Phone number:
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