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Central Valley Pain Management And Wellness Clinic Inc
Non-Pharmacy Dispensing Site in Modesto, California
NPI 1497134969

Central Valley Pain Management And Wellness Clinic Inc is a Non-Pharmacy Dispensing Site based in Clearwater, CA. Central Valley Pain Management And Wellness Clinic Inc practices in Modesto, CA. The NPI Number for Central Valley Pain Management And Wellness Clinic Inc is 1497134969 and holds a License No. A51949 (California).

The current practice location address for Central Valley Pain Management And Wellness Clinic Inc is 1300 Mable Ave # Suiteb2, Modesto, CA and can be reached out via phone at 813-448-3848. You can also correspond with Central Valley Pain Management And Wellness Clinic Inc through the mailing address at 311 PARK PLACE BLVD FL 5, CLEARWATER, FL - 33759-4904 (mailing address contact number: ).

Location: 1300 Mable Ave # Suiteb2, Modesto, CA, 33759-4904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497134969
Provider Name
Central Valley Pain Management And Wellness Clinic Inc
Credential
Provider Entity Type
Organization
Address
1300 Mable Ave # Suiteb2, Modesto, CA, 33759-4904
Phone Number
813-448-3848
Fax Number
Provider Enumeration Date
05/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 Mable Ave # Suiteb2
City
Modesto
State
California
Zip
95355-1120
Phone Number
813-448-3848
Fax Number
person
Provider Business Mailing Address Details
Address
311 Park Place Blvd Fl 5
City
Clearwater
State
Florida
Zip
33759-4904
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
A51949 (California)
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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