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KELLI OFFORD PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1033547542

Individual Registrant:
 KELLI  OFFORD PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3220 CHICAGO RD  SOUTH CHICAGO HEIGHTS, IL 60411-5421 US
Tel: 708-756-7775  Fax: --

Contact information for business:
1304 CARRSBROOKE DR APT 4  VALPARAISO, IN 46383-0969 US
Tel: 708-269-2174  Fax: --

Registration Information:
NPI: 1033547542
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
IL051296930
N183500000XPharmacy Service Providers
Pharmacist
IN26025291A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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