Individual
DR. KELLEY RANDALL CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
901 E MAIN ST, LAURENS, SC 29360-3636
(864) 984-1492
Mailing address
901 E MAIN ST, LAURENS, SC 29360-3636
(864) 984-1492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12562
SC
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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