MEDICARE: KELLY MCKENZIE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	S018031	AZ

General Provider Information

NPI Number	:	1134438229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY MCKENZIE PHARMD

Provider Business Mailing Address
First Line	:	5116 W OLIVE AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5116 W OLIVE AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4209
Country	:	US
Telephone Number	:	623-937-4771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2010
Last Update Date	:	10/06/2010

Similar Medicare Providers

1396697884 — RACHEL TU NGUYEN PHARMD
Practice Location Address:

5116 W OLIVE AVE
GLENDALE, AZ
85302-4209

Practice Phone: 623-937-4771
Practice Fax:

1184618530 — BARBARA L GARCIA M.D.
Practice Location Address:

5112 W OLIVE AVE STE C-113
GLENDALE, AZ
85302-4209

Practice Phone: 623-939-8618
Practice Fax: 623-939-9184

1275575896 — SMITHS FOOD & DRUG CENTERS INC
Practice Location Address:

5116 W OLIVE AVE
GLENDALE, AZ
85302-4209

Practice Phone: 623-937-4771
Practice Fax: 623-915-9519

1619155181 — NAGMA SHARMA LOTT MD
Practice Location Address:

5112 W OLIVE AVE STE C-113
GLENDALE, AZ
85302-4209

Practice Phone: 623-939-8618
Practice Fax: 623-939-9184

1518292713 — SHERI LYN MCCORMICK RPH
Practice Location Address:

5116 W OLIVE AVE
GLENDALE, AZ
85302-4209

Practice Phone: 623-937-4771
Practice Fax: 623-915-9519

1427315506 — JENNY HO D.O.
Practice Location Address:

5112 W OLIVE AVE STE C113
GLENDALE, AZ
85302-4209

Practice Phone: 623-939-8618
Practice Fax: 623-939-9184

Directions to “ KELLY MCKENZIE PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.