Provider Demographics
NPI:1427199835
Name:SELBY, NANCY PENN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:PENN
Last Name:SELBY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 TEASLEY LN
Mailing Address - Street 2:STE 100
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4650
Mailing Address - Country:US
Mailing Address - Phone:940-382-1618
Mailing Address - Fax:940-898-1986
Practice Address - Street 1:4400 TEASLEY LN
Practice Address - Street 2:STE 100
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-4650
Practice Address - Country:US
Practice Address - Phone:940-382-1618
Practice Address - Fax:940-898-1986
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist