Individual
MRS. AMANDA KERR KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
922 E MAINST, PHARMACY, LAURENS, SC 29360-3616
(864) 682-8104
(864) 683-5760
Mailing address
922 E MAINST, LAURENS, SC 29360-3616
(864) 682-8104
(864) 683-5760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22014
NC
183500000X
Pharmacist
RP447604
PA
183500000X
Pharmacist
SC35905
SC
Other
Enumeration date
09/21/2011
Last updated
04/05/2016
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