Individual
MR. CARL HALL KELLY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
129 N.EL CAMINO REAL, ENCINITAS, CA 92024-4717
(760) 942-2269
Mailing address
351 AVENIDA DE LAS ROSAS, ENCINITAS, CA 92024-4717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26098
CA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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