Organization
M.J. KELLY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY N HOWEY RPH (OWNER)
(213) 622-5696
Entity
Organization
Contact information
Practice address
610 S BROADWAY, SUITE 201, LOS ANGELES, CA 90014-1824
(213) 622-5696
(213) 622-5932
Mailing address
610 S BROADWAY, SUITE 201, LOS ANGELES, CA 90014-1824
(213) 622-5696
(213) 622-5932
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY34819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PNA348190
—
CA
Enumeration date
10/11/2005
Last updated
08/13/2008
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