MRS. Kelly Ann Odum, RPH

NPI #1538442272 in Fairview Heights, Illinois

Provider Information

NPI Number: 1538442272
Entity Type: Individual
Name: MRS. Kelly Ann Odum, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 20, 2011
Last Updated: Sep 20, 2011

Practice Location

Address: 6505 N ILLINOIS ST
City: Fairview Heights
State: Illinois
ZIP Code: 62208-2001
Phone: (618) 394-8744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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