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NPI Code Detail

MEDICARE: DR. KELLY MCNELIS PHARMD

MEDICARE: DR. KELLY MCNELIS 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
1183500000XPharmacistA1-0002387DE

General Provider Information

NPI Number : 1720176985
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELLY MCNELIS PHARMD
Provider Business Mailing Address
First Line : WILMINGTON HOSPITAL PO BOX 1668
Second Line : CHRISTIANA CARE HEALTH SERVICES
City : WILMINGTON
State : DE
Zip : 19899-1668
Country : US
Telephone Number : 302-255-1312
Fax Number : 302-255-1374
Provider Business Practice Location Address
First Line : 14TH AND WASHINGTON STREETS
Second Line : CHRISTIANA CARE HEALTH SERVICES-WILMINGTON HOSP ANNEX
City : WILMINGTON
State : DE
Zip : 19899-1668
Country : US
Telephone Number : 302-255-1312
Fax Number : 302-255-1374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KELLY MCNELIS PHARMD” Practice Location

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