Provider Demographics
NPI:1821646597
Name:SELECT MEDS LLC
Entity Type:Organization
Organization Name:SELECT MEDS LLC
Other - Org Name:SELECT MEDS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:RENELL
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-485-4421
Mailing Address - Street 1:8449 W BELLFORT ST STE 222
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2249
Mailing Address - Country:US
Mailing Address - Phone:713-485-4421
Mailing Address - Fax:713-485-4832
Practice Address - Street 1:8449 W BELLFORT ST STE 222
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2249
Practice Address - Country:US
Practice Address - Phone:713-534-1460
Practice Address - Fax:713-485-4832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy