Individual
ANDREW PERRY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1930 E MADISON AVE, BASTROP, LA 71220-4034
(318) 281-7410
(318) 281-7890
Mailing address
1930 E MADISON AVE, BASTROP, LA 71220-4034
(318) 281-7410
(318) 281-7890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024547
LA
Other
Enumeration date
09/22/2022
Last updated
03/01/2023
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