Organization
MILLENNIUM MEDS MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W WINES (CEO)
(800) 477-6770
Entity
Organization
Contact information
Practice address
5208 WINDJAMMER RD, PLANO, TX 75093-4023
(800) 477-6770
(602) 889-0483
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0483
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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