Individual
KELLEY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1415 MAIN ST, FOLLANSBEE, WV 26037-1217
(304) 527-1004
Mailing address
1415 MAIN ST, FOLLANSBEE, WV 26037-1217
(304) 527-1004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
OH-03335212
OH
183500000X
Pharmacist
RP0009320
WV
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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