Organization
KENNISON PHARMACY, LLC
Active
Other names
Complete Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH AMANKWAH KWARTENG (OWNER/PHARMACIST IN CHARGE)
(404) 789-0048
Entity
Organization
Contact information
Practice address
4050 BUFORD DRIVE, BUFORD, GA 30518
(678) 288-9798
(678) 288-9839
Mailing address
1600 PINEHURST VIEW DRIVE, GRAYSON, GA 30017
(404) 789-0048
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003218175A
—
GA
Enumeration date
01/24/2019
Last updated
03/19/2026
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