Prakruti Modi

NPI #1972102739 in Franklin, Wisconsin

Provider Information

NPI Number: 1972102739
Entity Type: Individual
Name: Prakruti Modi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 22, 2020
Last Updated: Oct 22, 2020

Practice Location

Address: 6701 S 27TH ST
City: Franklin
State: Wisconsin
ZIP Code: 53132-9430
Phone: (414) 761-9571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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