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Organization
KLH ENTERPRISES, INC.
Active
Organization
KLH ENTERPRISES, INC.
Active
Other names
St. Mary's Road Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LYDELL HARRELL (PRESIDENT)
(706) 685-1845
Entity
Organization
Contact information
Practice address
111 N OAKLEY DR, COLUMBUS, GA 31906-4476
(706) 685-1845
(706) 685-9066
Mailing address
111 N OAKLEY DR, COLUMBUS, GA 31906-4476
(706) 685-1845
(706) 685-9066
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008778
GA
Other
Enumeration date
12/28/2006
Last updated
09/16/2010
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