MEDICARE: TMS HOLDINGS, LLC

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	3336C0003X	Community/Retail Pharmacy	651	CO

General Provider Information

NPI Number	:	1801049531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMS HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	2359 HIGH LONESOME TRL
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-9397
Country	:	US
Telephone Number	:	303-664-1653
Fax Number	:	303-926-1177

Provider Business Practice Location Address
First Line	:	90 HEALTH PARK DR
Second Line	:	#130
City	:	LOUISVILLE
State	:	CO
Zip	:	80027-9757
Country	:	US
Telephone Number	:	303-926-0031
Fax Number	:	303-926-1177

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAMMY M SELBY
Credential	:
Telephone Number	:	303-926-0031

Provider Enumeration Date	:	10/26/2008
Last Update Date	:	10/26/2008

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