Organization
KELLY DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE LAURETTE VAN HOVELN RPH (RPH)
(815) 889-4326
Entity
Organization
Contact information
Practice address
105 E JONES ST, MILFORD, IL 60953-1047
(815) 889-4326
(815) 889-4326
Mailing address
PO BOX 127, MILFORD, IL 60953-0127
(815) 889-4326
(815) 889-4326
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054011335
IL
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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