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M.j. Kelly Pharmacy
Pharmacy in Los Angeles, California
NPI 1578551800

M.j. Kelly Pharmacy is a Pharmacy based in Los Angeles, CA. M.j. Kelly Pharmacy practices in Los Angeles, CA. The NPI Number for M.j. Kelly Pharmacy is 1578551800 and holds a License No. PHY34819 (California).

The current practice location address for M.j. Kelly Pharmacy is 610 S Broadway, Los Angeles, CA and can be reached out via phone at 213-622-5696 and via fax at 213-622-5932.

Location: 610 S Broadway, Los Angeles, CA, 90014-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578551800
Provider Name
M.j. Kelly Pharmacy
Credential
Provider Entity Type
Organization
Address
610 S Broadway, Los Angeles, CA, 90014-1824
Phone Number
213-622-5696
Fax Number
213-622-5932
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PNA348190 05 CA
institution
Provider Business Practice Location Address Details
Address
610 S Broadway
City
Los Angeles
State
California
Zip
90014-1824
Phone Number
213-622-5696
Fax Number
213-622-5932
person
Provider Business Mailing Address Details
Address
610 S Broadway
City
Los Angeles
State
California
Zip
90014-1824
Phone Number
213-622-5696
Fax Number
213-622-5932
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY34819 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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