Organization
KELLY DRUG INC
Active
Other names
KELLY DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WILLIAMS RPH (PRESIDENT)
(903) 569-3882
Entity
Organization
Contact information
Practice address
125 E BROAD ST, MINEOLA, TX 75773-2001
(903) 569-3882
(903) 569-3868
Mailing address
125 E BROAD ST, MINEOLA, TX 75773-2001
(903) 569-3882
(903) 569-3868
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21556
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145183
—
TX
01
—
2097422
PK
—
Enumeration date
08/31/2006
Last updated
09/19/2025
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