| NPI | 1679515977 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELLY SELBY President/PIC 940-382-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 21325) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-08-04 |