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MRS. KENDA KAY JEFFERSON RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1023190410

Individual Registrant:
MRS. KENDA KAY JEFFERSON RPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1701 HARDEE AVE SW ATTN: PHARMACY SERVICE FT. MCPHERSON, GA 30330-1062 US
Tel: 404-464-0296  Fax: 404-464-0303

Contact information for business:
7265 MADISON CIR  UNION CITY, GA 30291-5161 US
Tel: 770-964-9379  Fax: --

Registration Information:
NPI: 1023190410
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
OH03-2-19467

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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