NPI 1023604873

Kellylynne Forest, CPHT

Practitioner Pharmacy Technician Albuquerque, NM

Practice location

Address: 123 Madeira Dr SE, Albuquerque, NM 87108-2963
Phone: (505) 262-1538
Fax: (505) 243-5342
Mailing address: 10411 Towner Ave NE, Albuquerque, NM 87112-3060

Registered specialties (2)

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PT00013188 (NM)

Other Pharmacy Technician providers in New Mexico →

Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence T066714 (AZ)

Registry record

NPI: 1023604873
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2020
Record last updated: 16 Dec 2020

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.