Organization
JAMES L KELLEY
Active
Other names
KELLEY DRUG AND SELECTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KELLEY (OWNER PHARMACIST)
(870) 222-5071
Entity
Organization
Contact information
Practice address
104 HOLLY ST, MC GEHEE, AR 71654-2249
(870) 222-5071
(870) 222-5050
Mailing address
PO BOX 21, MC GEHEE, AR 71654-0021
(870) 222-5071
(870) 222-5050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR04664
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120157407
—
AR
01
—
1993262
PK
—
Enumeration date
08/19/2006
Last updated
07/18/2016
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