MEDICARE: DR. AUBREY SELVEY PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2010037416	MO
2	183500000X	Pharmacist	49657	TX
3	183500000X	Pharmacist	2023017627	MO

General Provider Information

NPI Number	:	1093001125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUBREY SELVEY PHARM.D.

Provider Business Mailing Address
First Line	:	104 DESERT WILLOW CT
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-2933
Country	:	US
Telephone Number	:	479-871-2526
Fax Number	:

Provider Business Practice Location Address
First Line	:	7909 TOWN SQUARE AVE
Second Line	:
City	:	DARDENNE PRAIRIE
State	:	MO
Zip	:	63368-7382
Country	:	US
Telephone Number	:	635-561-8450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	10/06/2023

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