Individual
JONATHAN A. KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2433 HIGHWAY #34, SHOPRITE PHARMACY, MANASQUAN, NJ 08736
(732) 528-8161
(732) 528-0507
Mailing address
38 JENSEN ST, EAST BRUNSWICK, NJ 08816-2843
(732) 528-8161
(732) 528-0507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03362400
NJ
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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