Individual
DR. KELLY A MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301
(774) 826-1059
Mailing address
861 LOUISE LN, DIGHTON, MA 02715-1157
(508) 642-5171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH234721
MA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH234721
MA
Other
Enumeration date
07/30/2013
Last updated
06/13/2018
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