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Individual

KELLYE JO MCNULTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2081 THOMAS BISHOP LN, VIRGINIA BEACH, VA 23454-1129
(757) 672-2220
Mailing address
2081 THOMAS BISHOP LN, VIRGINIA BEACH, VA 23454-1129
(757) 672-2220

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202013067
VA
261Q00000X
Clinic/Center
0202013067
VA

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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