Individual
SAMANTHA RAE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1111 8TH ST, BOONE, IA 50036-2925
(515) 432-1304
(515) 432-7136
Mailing address
1111 8TH ST, BOONE, IA 50036-2925
(515) 432-1304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25130
IA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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