| NPI | 1992296339 |
|---|---|
| Doing Business As | KENNESAW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RITESH PATEL Pharmacy Manager 770-800-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE010626) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-11-12 |