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Contact Information

MODERN DRUG INC
3044 TULARE ST
FRESNO, CA93721
 Phone: 559-266-0701
 Fax: 559-266-2438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MODERN DRUG INC

NPI Number 1760455711
LBN Legal business name MODERN DRUG INC
Authorized official CHAN LUONG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/09/2006
Last updated 03/25/2010 - About 16 years ago
Identifiers
CA License # PHY43219
CA Medicaid PHA432190
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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