Provider Demographics
NPI:1275029472
Name:KEEDY, CHELSEA AMANDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:AMANDA
Last Name:KEEDY
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 1:836 E. 65TH ST.
Mailing Address - Street 2:MEDICAL ARTS #4
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405
Mailing Address - Country:US
Mailing Address - Phone:413-687-7154
Mailing Address - Fax:
Practice Address - Street 1:836 E. 65TH ST.
Practice Address - Street 2:MEDICAL ARTS #4
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405
Practice Address - Country:US
Practice Address - Phone:413-687-7154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0299721835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care