KENNETH WESLEY JASCOMB

ATLANTA, GA
NPI1255325965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPh014048)
Enumeration Date2005-09-08
Last Update Date2007-07-08
Business Address
Mr. KENNETH WESLEY JASCOMB RPh
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-6265
Mailing Address
Mr. KENNETH WESLEY JASCOMB RPh
1677 BAYWOOD CT
LAWRENCEVILLE, GA 30043-6932
Phone number: