Individual
MR. BRIAN L KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
970 N MAIN RD, VINELAND, NJ 08360-8266
(856) 563-1599
Mailing address
731 RUTLAND CT, SEWELL, NJ 08080-2927
(856) 582-9791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RI023451
NJ
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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