| NPI | 1245652742 |
|---|---|
| Doing Business As | KELLY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AHMED ELWASEEM Owner 313-231-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010282) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2025-06-25 |