Individual
KELLEN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14702 BALTIMORE AVE, LAUREL, MD 20707-4882
(301) 490-5497
Mailing address
14702 BALTIMORE AVE, LAUREL, MD 20707-4882
(301) 490-5497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22459
MD
Other
Enumeration date
08/09/2017
Last updated
07/21/2022
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