Individual
DR. KELLY NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1202 S TYLER ST, ATTN: EMPLOYEE PHARMACY, COVINGTON, LA 70433-2330
(985) 898-4432
(985) 898-4363
Mailing address
1202 S TYLER ST, ATTN: EMPLOYEE PHARMACY, COVINGTON, LA 70433-2330
(985) 898-4432
(985) 898-4363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18196
LA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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