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MR. KENNETH W BURNETTE

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1477851210

Individual Registrant:
MR. KENNETH W BURNETTE 
Gender: M
Sole Proprietor

Location and contact information for practice:
633 N MAIN ST  CEDARTOWN, GA 30125-2359 US
Tel: 770-748-5030  Fax: --

Contact information for business:
865 N COLLEGE DR  CEDARTOWN, GA 30125-2076 US
Tel: 770-748-6490  Fax: --

Registration Information:
NPI: 1477851210
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH011293

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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