Individual
BIRDIE MAE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3403 TEXAS PKWY, MISSOURI CITY, TX 77489-5202
(281) 438-3557
(281) 438-7820
Mailing address
3403 TEXAS PKWY, MISSOURI CITY, TX 77489-5202
(281) 438-3557
(281) 438-7820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28366
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
11/22/2009
Last updated
11/22/2009
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