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Individual

KELLY ROSE ULEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5254
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5011

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20057748
NY

Other

Enumeration date
02/17/2013
Last updated
09/27/2018
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