Fuller Selle Llc in Mesa - Long Term Care Pharmacy
Fuller Selle Llc - NPI 1053573154
Fuller Selle Llc is a Long Term Care Pharmacy in Mesa, Arizona. Fuller Selle Llc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Fuller Selle Llc is 1053573154. The last update date is 2008-06-30.
Fuller Selle Llc's current location address is 215 S Power Rd, Mesa, Arizona. You can contact this provider via phone number 4089856992. The mailing address for Fuller Selle Llc is 215 S Power Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fuller Selle Llc |
|---|---|
| Address | 215 S Power Rd, Mesa, Arizona |
| Phone Number | 4089856992 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Alexander Gary |
| Telephone Number | 2107454000 |
NPI Number Detail
| NPI Number | 1053573154 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 215 S Power Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852065235 |
| Phone Number | 4089856992 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
| Licence No | Y004869 |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 355392 | OTHER ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fuller Selle Llc by the Centers for Medicare & Medicaid Services?
The Fuller Selle Llc has been issued the NPI (National Provider Identifier) 1053573154, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Fuller Selle Llc's facilities are situated?
The facilities of Fuller Selle Llc are physically located at the following address: 215 S Power Rd, Mesa, AZ, 852065235.
What is the area of specialization for Fuller Selle Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fuller Selle Llc is Long Term Care Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336L0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053573154 to Fuller Selle Llc?
The Centers for Medicare & Medicaid Services assigned the 1053573154 to Fuller Selle Llc on 2008-06-30.
When was the Fuller Selle Llc's information last updated?
The Fuller Selle Llc's information was last updated on 2008-06-30.