Organization
TEXAS COMMUNITY PHARMACY SERVICES
Active
Other names
COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SELBY BS PHARMACY (PRESIDENT/PIC)
(940) 382-1618
Entity
Organization
Contact information
Practice address
4400 TEASLEY LN STE 100, DENTON, TX 76210-4651
(940) 382-1618
(940) 898-1986
Mailing address
4400 TEASLEY LN, SUITE 100, DENTON, TX 76210-4650
(940) 382-1618
(940) 898-1986
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21325
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145120
—
TX
05
—
200626370 A
—
OK
01
—
2097240
PK
—
Enumeration date
06/12/2006
Last updated
08/04/2016
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