Modern Drug

LBN: Modern Drug Inc
Modern Drug is an health care organization with primary practice located at 3044 Tulare St , Fresno CA 93721. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Modern Drug Inc can be contacted via phone (559) 266-0701, or through Luong, Chan B via phone (559) 266-0701.

Contact Information

Primary practice address
3044 Tulare St Fresno CA 93721
Fax: (559) 266-2438
Website:
Authorized official contact:
Name: Luong, Chan B RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY43219 California

Profile Details

NPI number 1760455711
LBN Legal business name Modern Drug Inc
DBA Doing business as Modern Drug
Authorized official Luong, Chan B RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760455711 NPPES
California MEDICAID PHA432190

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