Individual
KERRY DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
Mailing address
235 SUNDANCE DR, WOODSTOCK, GA 30188-3037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023831
GA
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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