Provider Demographics
NPI:1316542376
Name:MACEY, KALEY MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KALEY
Middle Name:MARIE
Last Name:MACEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 QUALITY DR
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-2625
Mailing Address - Country:US
Mailing Address - Phone:603-653-3785
Mailing Address - Fax:
Practice Address - Street 1:1000 QUALITY DR
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-2625
Practice Address - Country:US
Practice Address - Phone:603-653-3785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist