# KLH ENTERPRISES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Mary's Road Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073679684
- **Authorized official:** DR. KENNETH LYDELL HARRELL (PRESIDENT)
- **Authorized official phone:** (706) 685-1845

## Contact information

- **Practice address:** 111 N OAKLEY DR, COLUMBUS, GA 31906-4476
- **Practice address phone:** (706) 685-1845
- **Practice address fax:** (706) 685-9066
- **Mailing address:** 111 N OAKLEY DR, COLUMBUS, GA 31906-4476
- **Mailing address phone:** (706) 685-1845
- **Mailing address fax:** (706) 685-9066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE008778 | GA | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 09/16/2010