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
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 PharmacyCommunity/Retail Pharmacy

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