Organization
KELLYS PHARMACY INC
Active
Other names
Kelly's Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN KELLY BS PHARMACY (PRESIDENT)
(518) 966-4800
Entity
Organization
Contact information
Practice address
34 HOPE PLZ, WEST COXSACKIE, NY 12192-1225
(518) 731-4800
(518) 731-4801
Mailing address
34 HOPE PLAZA, WEST COXSACKIE, NY 12192-1225
(518) 731-4800
(518) 731-4801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05715384
—
NY
01
—
2147255
PK
—
Enumeration date
08/12/2014
Last updated
09/19/2025
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