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MR. KENNETH JAMES DAVIS PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1760499198

Individual Registrant:
MR. KENNETH JAMES DAVIS PHARMACIST
Gender: M
Not Sole Proprietor

Location and contact information for practice:
326 DOYLE ST W  TOCCOA, GA 30577-2314 US
Tel: 706-886-7422  Fax: --

Contact information for business:
326 DOYLE ST W  TOCCOA, GA 30577-2314 US
Tel: 706-886-7422  Fax: --

Registration Information:
NPI: 1760499198
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA09035

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHARMACY LICENCE NUMBER09035GA01




HEALTH CARE JOBS GA - Page 1



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