Individual
MR. KELLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 NINE MILE RD, RICHMOND, VA 23223-4943
(804) 222-7914
Mailing address
8509 ASHFIELD HILLS TER, RICHMOND, VA 23227-1264
(804) 399-8202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012462
VA
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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