Individual
MR. THOMAS MICHAEL KELLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., B.SC.
Contact information
Practice address
528 WEST LACEY ROAD, FORKED RIVER, NJ 08731
(609) 242-1400
(609) 242-1496
Mailing address
133 5TH ST, BEACH HAVEN, NJ 08008-1937
(609) 492-2574
(609) 242-1496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI01600600
NJ
1835P1200X
Pharmacotherapy Pharmacist
Primary
28RI01600600
NJ
Other
Enumeration date
07/21/2006
Last updated
09/11/2025
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