Kenwood Pharmacy Inc

LBN: Kenwood Pharmacy Inc
Kenwood Pharmacy Inc is an health care organization with primary practice located at 101 Kenwood Rd Ste 28, Fayetteville GA 30214-3459. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kenwood Pharmacy Inc can be contacted via phone (770) 460-1065, or through Bartholomew, Lorren via phone (770) 231-1616.

Contact Information

Primary practice address
101 Kenwood Rd Ste 28 Fayetteville GA 30214-3459
Phone: (770) 460-1065
Fax: (770) 460-1066
Website:
Map and Directions
Authorized official contact:
Name: Bartholomew, Lorren
Phone: (770) 231-1616

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE009020 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285649822
LBN Legal business name Kenwood Pharmacy Inc
DBA Doing business as
Authorized official Bartholomew, Lorren
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285649822 NPPES
Other 1154359 OTHER ID NUMBER-COMMERCIAL NUMBER

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