Individual
KELLY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 762-3851
(575) 762-5698
Mailing address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 762-3851
(575) 762-5698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010398
NM
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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