Individual
SHERRY DIANE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1835 N MAIN ST, ROSWELL, NM 88201-5168
(575) 624-0423
(575) 622-6414
Mailing address
1835 N MAIN ST, ROSWELL, NM 88201-5168
(575) 624-0423
(575) 622-6414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4113
NM
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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