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K. VICTORIA MODICA N.D. PLLC NPI 1316351125


NPI Information

NPI: 1316351125
Provider Name: K. VICTORIA MODICA, N.D., PLLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
3716 PACIFIC AVE
SUITE H
TACOMA, WA
ZIP 98418
Phone: (877) 513-8012
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K. VICTORIA MODICA, N.D., PLLC is a non pharmacy dispensing site in Tacoma, WA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) K. VICTORIA MODICA, N.D., PLLC NPI is 1316351125. The provider is registered as an organization entity type.

The provider's business location address is:

3716 PACIFIC AVE
SUITE H
TACOMA, WA
ZIP 98418-836
Phone: (877) 513-8012

The provider's authorized official is Katherine V. Modica .
The authorized official title is Owner and has the following contact phone number (877) 513-8012.

The enumeration date for this NPI number is 6/19/2014 and was last updated on 6/19/2014.


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
1332900000XNon-Pharmacy Dispensing SiteNT60336456WASHINGTONYes

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: 11/14/2023

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