Organization
KELLEY PHARMACY INC
Active
Other names
Custom Prescription Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WILLIAM BROWN III R.PH. (OWNER PHARMACIST)
(802) 864-0812
Entity
Organization
Contact information
Practice address
42 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 864-0812
Mailing address
42 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 864-0812
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
038-0002622
VT
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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