institution
K. Victoria Modica, N.d., Pllc
Non-Pharmacy Dispensing Site in Tacoma, Washington
NPI 1316351125

K. Victoria Modica, N.d., Pllc is a Non-Pharmacy Dispensing Site based in Los Angeles, WA. K. Victoria Modica, N.d., Pllc practices in Tacoma, WA. The NPI Number for K. Victoria Modica, N.d., Pllc is 1316351125 and holds a License No. NT60336456 (Washington).

The current practice location address for K. Victoria Modica, N.d., Pllc is 3716 Pacific Ave, Tacoma, WA and can be reached out via phone at 877-513-8012. You can also correspond with K. Victoria Modica, N.d., Pllc through the mailing address at 2980 N BEVERLY GLEN CIR, LOS ANGELES, CA - 90077-1726 (mailing address contact number: 310-943-4180).

Location: 3716 Pacific Ave, Tacoma, WA, 90077-1726
institution
Provider Profile Details
NPI Number
1316351125
Provider Name
K. Victoria Modica, N.d., Pllc
Credential
Provider Entity Type
Organization
Address
3716 Pacific Ave, Tacoma, WA, 90077-1726
Phone Number
877-513-8012
Fax Number
Provider Enumeration Date
06/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3716 Pacific Ave
City
State
Zip
98418-7836
Phone Number
877-513-8012
Fax Number
person
Provider Business Mailing Address Details
Address
2980 N Beverly Glen Cir
City
State
Zip
90077-1726
Phone Number
310-943-4180
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
NT60336456 (Washington)
Definition
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.)
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