Kellie Bleile

NPI #1518569102 in Center, Texas

Provider Information

NPI Number: 1518569102
Entity Type: Individual
Name: Kellie Bleile
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 10, 2020
Last Updated: Nov 10, 2020

Practice Location

Address: 765 HURST ST
City: Center
State: Texas
ZIP Code: 75935-3415
Phone: (936) 598-2921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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