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Organization
KELLEY PHARMACY INC
Active
Organization
KELLEY PHARMACY INC
Active
Other names
Custom Prescription Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WILLIAM BROWN III R.PH. (OWNER PHARMACIST)
(802) 864-0812
Entity
Organization
Contact information
Practice address
42 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 864-0812
Mailing address
42 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 864-0812
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
038-0002622
VT
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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