MR. Sanjay Jayanti Modhera, PHARMACIST

NPI #1154645323 in Tomah, Wisconsin

Provider Information

NPI Number: 1154645323
Entity Type: Individual
Name: MR. Sanjay Jayanti Modhera, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Mar 17, 2010
Last Updated: Mar 17, 2010

Practice Location

Address: 500 E VETERANS ST
City: Tomah
State: Wisconsin
ZIP Code: 54660-3105
Phone: (608) 372-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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