Individual
KELLEY IMFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2 MYSTIC VIEW RD, EVERETT, MA 02149-2428
(618) 544-4805
Mailing address
859 BROADWAY APT 404, SAUGUS, MA 01906-3395
(732) 832-1697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238223
MA
Other
Enumeration date
06/06/2020
Last updated
06/06/2020
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