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Individual

ALLEN RAY KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1375 VINEWOOD DR, COLUMBUS, OH 43229-4453
(614) 888-5943
Mailing address
1375 VINEWOOD DR, COLUMBUS, OH 43229-4453
(614) 888-5943

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-08780
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-3-08780
OHIO PHARMACIST LICENSE
OH
Enumeration date
03/12/2007
Last updated
07/08/2007
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