Individual
MR. JOHN R KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2433 HIGHWAY 34, SHOP RITE PHARMACY #630, MANASQUAN, NJ 08736
(732) 528-8161
(732) 528-0507
Mailing address
2433 HIGHWAY 34, SHOP RITE PHARMACY #630, MANASQUAN, NJ 08736
(732) 528-8161
(732) 528-0507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01600400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI01600400
LICENSE NUMBER
NJ
Enumeration date
02/22/2007
Last updated
04/09/2010
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