Wilson, Mackenzie Paulette
Wilson, Mackenzie Paulette is an individual health care provider with primary practice located at Jct Hwy 160 & Nr 35 Hcr 61, Teec Nos Pos AZ 86514-0000. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wilson, Mackenzie Paulette can be contacted via phone (928) 656-5000.Contact Information
Primary practice address
Jct Hwy 160 & Nr 35 Hcr 61
Teec Nos Pos AZ 86514-0000
Phone: (928) 656-5000
Fax: (928) 656-5272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 13429 | Arizona |
Profile Details
| NPI number | 1376524124 |
|---|---|
| LBN Legal business name | Wilson, Mackenzie Paulette |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Apr 19th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376524124 | NPPES |
| Other | 109MPW | NNMC |
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