Individual
KELLEY RAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
429 E MAIN ST, INGLES PHARMACY #253, LIBERTY, SC 29657-1574
(864) 843-9326
(864) 843-9352
Mailing address
429 E MAIN ST, INGLES PHARMACY #253, LIBERTY, SC 29657-1574
(864) 843-9326
(864) 843-9352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9410
SC
Other
Enumeration date
04/28/2010
Last updated
08/24/2011
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