KYLE OTIS ALVIN

STONE MOUNTAIN, GA
NPI1528939220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: GA  RPH035846)
Enumeration Date2025-09-16
Last Update Date2025-09-16
Business Address
-- KYLE OTIS ALVIN
1140 N HAIRSTON RD
STONE MOUNTAIN, GA 30083-5800
Phone number: 404-292-0484
Mailing Address
-- KYLE OTIS ALVIN
1628 JACKSON WAY NW
ATLANTA, GA 30318-0654
Phone number: 786-747-5068