Last Updated: 12/23/2024 5:22:52 AM
Facility DetailCorporation / Company Owner Name | TAILSTORM HEALTH INC |
Business (DBA) Name | MEDIVANT HEALTHCARE |
License Number | 88-P-7847 |
Facility Type | Repackager |
Address |
24416 NORTH 19TH AVENUE SUITE 200 |
City, State, Zip | PHOENIX,AZ 85226 |
Country | |
Issue Date | 02/27/2023 |
Renewed Date | 02/09/2024 |
Expiration Date | 02/28/2025 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
Disciplinary
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