NPI 1023751013

Walter T Kelso

Practitioner Pharmacist Mount Laurel, NJ

Practice location

Address: 136 Gaither Dr STE 120, Mount Laurel, NJ 08054-1725
Phone: (856) 380-1828

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 28RI02318700 (NJ)

Other Pharmacist providers in New Jersey →

Registry record

NPI: 1023751013
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2022
Record last updated: 18 Apr 2022

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.