DR. KELLY DECLERK, PHARMD
Pharmacist
Active
Individual
NPI: 1417446154
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacist | 183500000X | Yes | 2009036310 (MO) |
Frequently Asked Questions
NPI 1417446154 is the National Provider Identifier for DR. KELLY DECLERK, PHARMD, a Pharmacist provider located in Jackson, MO. This NPI was enumerated on May 8, 2018.
DR. KELLY DECLERK, PHARMD practices at 3051 E JACKSON BLVD, Jackson, MO 63755.
Quick Facts
- NPI
- 1417446154
- Type
- Individual
- Enumerated
- May 8, 2018
- Last Updated
- May 8, 2018
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