| NPI | 1760576011 |
|---|---|
| Doing Business As | KELLY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICK BOGGS President 318-326-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.002188-IR) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-10-27 |