Individual
ANTHONY TODD KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
406 WASHINGTON ST, RAVENSWOOD, WV 26164-1706
(304) 273-4496
Mailing address
221 CEDAR CREST DR, RIPLEY, WV 25271-1601
(304) 372-5868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6173
WV
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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