Individual
MS. JULIE C KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1825 E PRIMROSE ST, SPRINGFIELD, MO 65804-6497
(417) 520-1745
Mailing address
2465 S FORREST HEIGHTS AVE, SPRINGFIELD, MO 65809-3541
(818) 288-4230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017034440
MO
183500000X
Pharmacist
PH 21618
MA
183500000X
Pharmacist
RPH 46118
CA
Other
Enumeration date
07/06/2010
Last updated
10/05/2021
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