# KENNESTONE HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellStar Pharmacy Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699177428
- **Authorized official:** SNEHAL DOSHI (VICE PRESIDENT OF PHARMACY)
- **Authorized official phone:** (470) 644-0392

## Contact information

- **Practice address:** 3747 ROSWELL RD, MARIETTA, GA 30062-6215
- **Practice address phone:** (470) 956-0170
- **Practice address fax:** (678) 560-5948
- **Mailing address:** PO BOX 743081, ATLANTA, GA 30374-3081
- **Mailing address phone:** (470) 956-0170
- **Mailing address fax:** (678) 560-5948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010072 | GA | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 02/24/2020
