M.J. Kelly Pharmacy

LBN: M.J. Kelly Pharmacy
M.J. Kelly Pharmacy is an health care organization with primary practice located at 610 S Broadway Suite 201, Los Angeles CA 90014-1824. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. M.J. Kelly Pharmacy can be contacted via phone (213) 622-5696, or through Howey, Mary N via phone (213) 622-5696.

Contact Information

Primary practice address
610 S Broadway Suite 201 Los Angeles CA 90014-1824
Phone: (213) 622-5696
Fax: (213) 622-5932
Website:
Map and Directions
Authorized official contact:
Name: Howey, Mary N RPH
Phone: (213) 622-5696

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY34819 California

Profile Details

NPI number 1578551800
LBN Legal business name M.J. Kelly Pharmacy
DBA Doing business as
Authorized official Howey, Mary N RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 13th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578551800 NPPES
California MEDICAID PNA348190

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