Provider First Line Business Practice Location Address:
704 BRUSHY CREEK ROAD
Provider Second Line Business Practice Location Address:
KELLY'S FAMILY PHARMACY
Provider Business Practice Location Address City Name:
EASLEY
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29642-7830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-270-1469
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/17/2012