Individual
JENNIFER KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 HIGHWAY 74 N, TYRONE, GA 30290-1663
(770) 774-2787
Mailing address
107 MORALLION HLS, PEACHTREE CITY, GA 30269-2739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029869
GA
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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