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KENNETH LEE ARTHUR RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1538260955
Individual Registrant: KENNETH LEE ARTHUR RPH
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1710 CLEVELAND HWY DALTON, GA 30721-8313 US
Tel: 706-259-9787 Fax: 706-259-9174
Tel: 706-259-9787 Fax: 706-259-9174
Contact information for business:
3011 HIGHWAY 2 W CRANDALL, GA 30711-5162 US
Tel: 706-695-0184 Fax: --
Tel: 706-695-0184 Fax: --
Registration Information:
NPI: 1538260955
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH013139 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
