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Organization

KELLY KIDZ INC

Active
Other names
KAPLERS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
HELEN SAMANTHA KELLY RPH (OWNER)
(609) 492-9221
Entity
Organization

Contact information

Practice address
1 S BAY AVE, BEACH HAVEN, NJ 08008-1794
(609) 492-9221
(609) 492-1453
Mailing address
1 S BAY AVE, BEACH HAVEN, NJ 08008-1794
(609) 492-9221
(609) 492-1453

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
28RS00627200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0037419
NJ
01
2058629
PK
05
4392701
NJ
Enumeration date
01/04/2007
Last updated
12/18/2018
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