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Individual

MRS. ANGELA ANDES KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
525 COLLEGE AVE, CLEMSON, SC 29631-1444
(864) 654-6050
(864) 654-2719
Mailing address
525 COLLEGE AVE, CLEMSON, SC 29631-1444
(864) 654-6050
(864) 654-2719

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202009818
VA
183500000X
Pharmacist
12385
NC
183500000X
Pharmacist
Primary
7253
SC

Other

Enumeration date
05/17/2012
Last updated
06/22/2012
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