Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SANJAY JAYANTI MODHERA, PHARMACIST
Active Sole ProprietorMR. SANJAY JAYANTI MODHERA, PHARMACIST is a Pharmacist healthcare provider located in TOMAH, Wisconsin. NPI 1154645323 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · TOMAH, WI
Registration Details
- NPI Number
- 1154645323
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2010 (16.368437684746 yrs)
- Last Updated
- Mar 17, 2010
- License
-
051286008 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 E VETERANS STTOMAH, WI, 546603105Browse WI providers · Browse ZIP 54660
- Phone
- 6083723971
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in TOMAH, WI
| Name | Credential | NPI |
|---|---|---|
| MR. JASON D EISERMANN | RPH | 1124017678 |
| BRIAN L GAUL | PHARMD | 1417009226 |
| KAYLEEN RAYE LARSON | — | 1295888220 |
| MR. DAVID ALAN DETTLE | RPH | 1215191382 |
| DANNY LYNN HANSON | RPH | 1033374962 |
| VIRGINIA L SCHROEDER | RPH | 1043475890 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.