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Kelli Dulaney

Pharmacist in Red Oak, TX. Individual provider (NPI-1).

NPI number1093316622
StatusActive
Last updated in NPPESNov 2, 2020

Details

NPI
1093316622
Entity type
Individual (NPI-1)
Name
Kelli Dulaney
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 2, 2020
Certification date
Nov 2, 2020
Last updated
Nov 2, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist62418TXYes
183500000X Pharmacist40368TN
183500000X Pharmacist14354MS

Practice location

100 S Ryan Dr
Red Oak, TX 75154-4214

Phone 972-515-2066

Mailing address

100 S Ryan Dr
Red Oak, TX 75154-4214

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Red Oak, TX

All 15 Pharmacist providers in Red Oak · All 294 providers in Red Oak

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