Provider Demographics
NPI:1902983679
Name:SELLERS, CHRIS A (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:A
Last Name:SELLERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4338 CHELSEA DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76309-4028
Mailing Address - Country:US
Mailing Address - Phone:940-692-0329
Mailing Address - Fax:940-692-1546
Practice Address - Street 1:5400 KELL BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-1610
Practice Address - Country:US
Practice Address - Phone:940-689-2632
Practice Address - Fax:940-692-1546
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345371835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX34537OtherTX STATE BOARD OF PHARMAC