NPI | 1427137819 |
---|---|
Doing Business As | KELLYS PHARMACY |
Entity Type | Organization |
Authorized Contact | MOHAMMAD AHAMD Sph President 718-439-6360 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 024299) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-11-04 |
Last Update Date | 2016-12-13 |