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Individual

MRS. KENDA KAY JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1701 HARDEE AVE SW, ATTN: PHARMACY SERVICE, FT. MCPHERSON, GA 30330-1062
(404) 464-0296
(404) 464-0303
Mailing address
7265 MADISON CIR, UNION CITY, GA 30291-5161
(770) 964-9379

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-19467
OH

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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