# MILLENNIUM MEDS MANAGEMENT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720409816
- **Authorized official:** MARK W WINES (CEO)
- **Authorized official phone:** (800) 477-6770

## Contact information

- **Practice address:** 5208 WINDJAMMER RD, PLANO, TX 75093-4023
- **Practice address phone:** (800) 477-6770
- **Practice address fax:** (602) 889-0483
- **Mailing address:** PO BOX 29211, PHOENIX, AZ 85038-9211
- **Mailing address phone:** (602) 273-6770
- **Mailing address fax:** (602) 889-0483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2013
- **Last updated:** 12/17/2013