Integrative Modality, Inc

Pharmacy · Davie, FL

Organization Active NPI

NPI number 1700204302

Practice location

12555 Orange Dr
#4079
Davie, FL 33330-4304
Phone
(954) 862-1720

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NPI record

NPI
1700204302
Entity type
Organization (Type 2)
Enumeration date
April 1, 2014
Last updated
April 1, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 28002 FL

Authorized official

Name
Dr. Lorraine D Jackson, PHARM D
Title
Director
Phone
(954) 816-6703

About Integrative Modality, Inc

Integrative Modality, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 12555 Orange Dr, #4079, Davie, FL 33330-4304. The NPI number 1700204302 was assigned on April 1, 2014 and the record was last updated on April 1, 2014.

Integrative Modality, Inc lists a license in the registry: #28002 (FL) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Lorraine D Jackson, PHARM D, Director.

Frequently asked questions

What is the NPI number of Integrative Modality, Inc?

The NPI number is 1700204302.

What is the phone number of Integrative Modality, Inc?

The phone number listed for the practice location is (954) 862-1720.

Where is Integrative Modality, Inc located?

12555 Orange Dr, #4079, Davie, FL 33330-4304.

What is the taxonomy code for Integrative Modality, Inc?

The primary taxonomy code is 333600000X – Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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