# KENNEDY DRUGS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennedy Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912370834
- **Authorized official:** GLORIA MACHALK (OWNER)
- **Authorized official phone:** (478) 625-7575

## Contact information

- **Practice address:** 524 POPLAR ST, MACON, GA 31201-2717
- **Practice address phone:** (478) 743-4700
- **Practice address fax:** (478) 743-1103
- **Mailing address:** 101 E BROAD ST, LOUISVILLE, GA 30434-1619
- **Mailing address phone:** (478) 625-7575
- **Mailing address fax:** (478) 625-7798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE006041 | GA | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 11/02/2015