NPI 1033425418

Laura Modafferi, PHARMD

Practitioner Pharmacist Portsmouth, VA

Practice location

Address: 620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Phone: (757) 953-7550
Mailing address: 209 Thoroughbred Lane APT 304, Chesapeake, VA 23320

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP445065 (PA)

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Registry record

NPI: 1033425418
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2010
Record last updated: 24 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.