The Wound Store, Llc in Mesa - Pharmacy
The Wound Store, Llc - NPI 1619167764
The Wound Store, Llc is a Pharmacy in Mesa, Arizona. The Wound Store, Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for The Wound Store, Llc is 1619167764. The last update date is 2023-03-07.
The Wound Store, Llc's current location address is Po Box 30475, Mesa, Arizona. You can contact this provider via phone number 6028199434 and fax number 8664530085. The mailing address for The Wound Store, Llc is Po Box 30475, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Wound Store, Llc |
|---|---|
| Address | Po Box 30475, Mesa, Arizona |
| Phone Number | 6028199434 |
| Fax Number | 8664530085 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/OWNER |
|---|---|
| Authorized Official Name | Kieborz James Timothy |
| Credentials | MD |
| Telephone Number | 6028199434 |
NPI Number Detail
| NPI Number | 1619167764 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 30475 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852750475 |
| Phone Number | 6028199434 |
| Fax Number | 8664530085 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y004798 | AZ | STATE PHARMACY LICENSE |
Post Comment/ Review Below
What is the The Wound Store, Llc's unique identification number?
The The Wound Store, Llc has been assigned the NPI (National Provider Identifier) Number 1619167764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where The Wound Store, Llc is geographically located?
The The Wound Store, Llc is physically situated at the following location: Po Box 30475, Mesa, AZ, 852750475.
What is The Wound Store, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The The Wound Store, Llc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
When was the The Wound Store, Llc's 1619167764 issued?
The The Wound Store, Llc's 1619167764 was issued on 2007-07-25.
When was the The Wound Store, Llc's information last updated?
The The Wound Store, Llc's information was last updated on 2023-03-07.
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