| NPI | 1245688407 |
|---|---|
| Doing Business As | KELLY'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELLY KEMPER Owner/AO 505-967-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00004278) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2016-11-10 |