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KENNETH LEE ARTHUR RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1538260955

Individual Registrant:
 KENNETH LEE ARTHUR RPH
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

Contact information for business:
3011 HIGHWAY 2 W  CRANDALL, GA 30711-5162 US
Tel: 706-695-0184  Fax: --

Registration Information:
NPI: 1538260955
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH013139

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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