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General NPI Number Information
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NPI Number | 1376995571
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Entity Type | Individual
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Provider Name | JENNIFER A KELLEHER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 789 CENTRAL AVE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone | 603-740-2512
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 762
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City | BYFIELD
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State | MA
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Zip | 01922-0762
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Country | US
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Telephone | 978-273-8557
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4050
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH236202
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License Number State | MA
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