Kelly, Thomas Michael

Kelly, Thomas Michael is an sole proprietor health care provider with primary practice located at 528 West Lacey Road , Forked River NJ 08731. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Kelly, Thomas Michael can be contacted via phone (609) 242-1400.

Contact Information

Primary practice address
528 West Lacey Road Forked River NJ 08731
Phone: (609) 242-1400
Fax: (609) 242-1496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI01600600 New Jersey
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 28RI01600600 New Jersey

Profile Details

NPI number 1215958723
LBN Legal business name Kelly, Thomas Michael
Credentials R.PH., B.SC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
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.

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