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MODERN DRUG INC NPI 1134128655


NPI Information

NPI: 1134128655
Provider Name: MODERN DRUG INC

Doing Business As: TOUS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3250 E OLIVE AVE
STE B
FRESNO, CA
ZIP 93702
Phone: (559) 268-2547
Get Directions

MODERN DRUG INC is a pharmacy in Fresno, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MODERN DRUG INC NPI is 1134128655. The provider is registered as an organization entity type.
The provider Is Doing Business As Tous Pharmacy.

The provider's business location address is:

3250 E OLIVE AVE
STE B
FRESNO, CA
ZIP 93702-023
Phone: (559) 268-2547
Fax: (559) 268-0212

The provider's authorized official is Kimphi Thi Le .
The authorized official title is Pic/treasurer and has the following contact phone number (559) 268-2547.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 2/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyPHY48897CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16305080002MEDICARE NSCCALIFORNIA
20547793OTHERCALIFORNIANCPDP
31134128655MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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