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:
Map and Directions
Authorized official contact:
Name: Kemper, Kelly
Phone: (505) 967-5033

Health care specialties

SpecialtyCodeLicense #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 9 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 1245688407 NPPES
Other 2160348 PK

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