Kellem, Tracy Ann
Kellem, Tracy Ann is an sole proprietor health care provider with primary practice located at 242 Marlton Pike W , Cherry Hill NJ 08002-3016. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kellem, Tracy Ann can be contacted via phone (856) 428-0473.Contact Information
Primary practice address
242 Marlton Pike W
Cherry Hill NJ 08002-3016
Phone: (856) 428-0473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI02623400 | New Jersey |
Profile Details
| NPI number | 1194943787 |
|---|---|
| LBN Legal business name | Kellem, Tracy Ann |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194943787 | NPPES |
| New Jersey | Other | 28RI02623400 | NJ BOARD OF PHARMACY LIC |
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