| NPI | 1447759345 |
|---|---|
| Doing Business As | KELLYS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EJAZ AHMED President 917-731-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |