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Individual

ONDREA KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2155 WALKER BUILDING, AUBURN UNIVERSITY, AL 36849-0001
(344) 844-4099
Mailing address
4315 GOLF CLUB DR APT 6506, AUBURN, AL 36830-5970

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023038
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PST.023038
PHARMACY LICENSE
LA
Enumeration date
07/29/2019
Last updated
07/29/2019
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