| NPI | 1730244153 |
|---|---|
| Doing Business As | M J KELLY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NWANMA IREGBULEM PIC 213-622-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY47558) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-11-29 |