KENNON LATRELL TYRE

WAYCROSS, GA
NPI1629068895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  18517)
Enumeration Date2005-10-27
Last Update Date2007-07-08
Business Address
Dr. KENNON LATRELL TYRE PHARM.D.
410 DARLING AVE PHARMACY DEPARTMENT
WAYCROSS, GA 31501-5246
Phone number: 912-287-2640
Mailing Address
Dr. KENNON LATRELL TYRE PHARM.D.
937 DOGWOOD DR
BLACKSHEAR, GA 31516-2302
Phone number: 912-449-8634
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