Most Relevant Information
Provider Data
| NPI Number: | 1003306382 |
| Provider Name: | RYAN PATRICK KELLEY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH05793 |
Most Important Dates
| Enumeration Date: | 05/13/2018 |
| Last Updated: | 05/13/2018 |
Provider Practice Location
203 MAIN ST
WAKEFIELD
RI
028793557
Practice Location Phone/Fax
| Phone: | 4013072555 |
| Fax: | 4017830045 |
Provider Mailing Location
57 KAY ST
NEWPORT
RI
028402724
Provider Mailing Phone/Fax
| Phone: | 4014395132 |
| Fax: |