National Provider Identifier
Gretchen Mary Kelly, PHARM.D
Gretchen Mary Kelly, PHARM.D is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 277-8126.
Profile Overview
- NPI
- 1841568979
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- December 03, 2011
- Last Updated
- February 08, 2014
Practice Location
- 135 Fairgrounds Memorial Pkwy
- Ithaca Store#5240
- Ithaca, NY 14850-5362
Phone: (607) 277-8126
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1841568979
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Gretchen
- Middle Name
- Mary
- Name Prefix
- MS.
- Credential
- PHARM.D
- Mailing Street Address
- 135 Fairgrounds Memorial Pkwy
- Mailing Address Line 2
- Ithaca Store#5240
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5362
- Mailing Country
- US
- Mailing Phone
- (607) 277-8126
- Practice Street Address
- 135 Fairgrounds Memorial Pkwy
- Practice Address Line 2
- Ithaca Store#5240
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5362
- Practice Country
- US
- Practice Phone
- (607) 277-8126
- Enumeration Date
- December 03, 2011
- Last Updated
- February 08, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)