Individual
KELLY MCCOLLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 EGG HARBOR RD, SEWELL, NJ 08080-9211
(856) 256-8872
Mailing address
415 EGG HARBOR RD, SEWELL, NJ 08080-9211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03026500
NJ
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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