# CRLKEMPER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelly's pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811347594
- **Authorized official:** KELLY KEMPER RPH (OWNER/PHARMACIST)
- **Authorized official phone:** (505) 967-5033

## Contact information

- **Practice address:** 312 N CALIFORNIA ST, SOCORRO, NM 87801-4207
- **Practice address phone:** (575) 835-2125
- **Practice address fax:** (575) 835-2026
- **Mailing address:** 312 N CALIFORNIA ST, SOCORRO, NM 87801-4207
- **Mailing address phone:** (575) 835-2125
- **Mailing address fax:** (575) 835-2026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | NULL | Yes |
| 183500000X | Pharmacist | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2016
- **Last updated:** 06/14/2016