Individual
MR. KEITH BARDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6370 FLAT ROCK DR, FLOWERY BRANCH, GA 30542-5052
(770) 967-2965
Mailing address
3300 HAMILTON MILL RD, BUFORD, GA 30519-4080
(770) 904-7188
(770) 904-7193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013310
GA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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