Kenwood Pharmacy Inc

NPI 1285649822 - Pharmacy - 333600000X

NPI Details
NPI 1285649822
Enumeration Date 07/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LORREN LORREN
Position GENERAL MGR
Phone (770) 460-1065
Fax (770) 460-1066
Practice Location
101 KENWOOD RD
STE 28
FAYETTEVILLE GA, 30214-3459, US
Phone (770) 460-1065
Fax (770) 460-1066
Business Location
101 KENWOOD RD
STE 28
FAYETTEVILLE GA, 30214-3459, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State Georgia
License Number PHRE009020
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According to our database, Kenwood Pharmacy Inc NPI is 1285649822, taxonomy code is 333600000X and license number is PHRE009020, license state is located at Georgia. Kenwood Pharmacy Inc physically located at 101 Kenwood Rd, Fayetteville GA, 30214-3459. NPI Number 1033115704 has the healthcare provider type.

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1285649822 NPI number is provided on an as is basis without warranty of any kind. 1285649822 is maintained by the National Plan & Provider Enumeration System. The contents of Kenwood Pharmacy Inc are for informational purposes only.