Kelly'S Pharmacy
LBN: Crlkemper
Kelly'S Pharmacy is an health care organization with primary practice located at 312 N California St , Socorro NM 87801-4207. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Crlkemper can be contacted via phone (575) 835-2125, or through Kemper, Kelly via phone (505) 967-5033.
Contact Information
Primary practice address
312 N California St
Socorro NM 87801-4207
Phone: (575) 835-2125
Fax: (575) 835-2026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH00004278 | New Mexico |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1245688407 |
|---|---|
| LBN Legal business name | Crlkemper |
| DBA Doing business as | Kelly'S Pharmacy |
| Authorized official | Kemper, Kelly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2016 |
| Last updated | Nov 10th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245688407 | NPPES |
| Other | 2160348 | PK |
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