NPI 1629145792

Kelley Pharmacy

Organisation Community/Retail Pharmacy Roswell, NM

Practice location

Address: 111 W Hobbs St, Roswell, NM 88203-1869
Phone: (505) 622-6000
Fax: (505) 623-8692
Mailing address: PO Box 639, Roswell, NM 88202-0639

Authorised official

Name: Beau Baumann
Title: Administrator
Phone: (505) 623-3311

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PH00001203 (NM)

Other Pharmacy providers in New Mexico →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1629145792
Entity type: Organization
NPI issued: 30 Nov 2006
Record last updated: 13 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.