Organization
KELLYS FAMILY PHARMACY
Active
Other names
Kelly's Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH HUNT (PIC)
(864) 270-1469
Entity
Organization
Contact information
Practice address
704 BRUSHY CREEK RD, EASLEY, SC 29642-2200
(864) 343-0540
(864) 343-0543
Mailing address
704 BRUSHY CREEK RD, EASLEY, SC 29642-2200
(864) 343-0540
(864) 343-0543
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10227
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117875
PK
—
05
—
710227
—
SC
Enumeration date
10/21/2008
Last updated
04/05/2017
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