Individual
HEIDI KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1401 S GILMER AVE, LANETT, AL 36863-2942
(334) 642-6888
Mailing address
1401 S GILMER AVE, LANETT, AL 36863-2942
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13007
AL
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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