Modificare LLC
NPI #1154365468 in Camden, South Carolina
Provider Information
- NPI Number
- 1154365468
- Entity Type
- Organization
- Organization Name
- Modificare LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Jun 9, 2023
Practice Location
- Address
- 1023A W DEKALB ST
- City
- Camden
- State
- South Carolina
- ZIP Code
- 29020-4162
- Phone
- (803) 424-0064
Authorized Official
- Name
- DENO SEBASTIAN
- Title
- OWNER
- Phone
- (757) 763-8588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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