# KENWOOD PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285649822
- **Authorized official:** LORREN BARTHOLOMEW (GENERAL MGR)
- **Authorized official phone:** (770) 231-1616

## Contact information

- **Practice address:** 101 KENWOOD RD, STE 28, FAYETTEVILLE, GA 30214-3459
- **Practice address phone:** (770) 460-1065
- **Practice address fax:** (770) 460-1066
- **Mailing address:** 101 KENWOOD RD, STE 28, FAYETTEVILLE, GA 30214-3459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHRE009020 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/11/2025