Organization
KS PHARM LLC
Active
Other names
Kelsey Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE AARON JORDAN R.PH. (DIRECTOR OF PHARMACY)
(713) 442-5251
Entity
Organization
Contact information
Practice address
11555 UNIVERSITY BLVD STE 110, SUGAR LAND, TX 77478-3889
(713) 442-9475
(713) 442-9410
Mailing address
11555 UNIVERSITY BLVD, SUGAR LAND, TX 77478
(713) 442-9475
(713) 442-9410
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4576243
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
470962
—
TX
Enumeration date
12/13/2006
Last updated
07/31/2024
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