Organization
KENNEDY DRUGS INC
Active
Other names
KENNEDY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KENNEDY (OWNER)
(478) 743-4700
Entity
Organization
Contact information
Practice address
524 POPLAR ST, MACON, GA 31201-2717
(478) 743-4700
(478) 743-1103
Mailing address
524 POPLAR ST, MACON, GA 31201-2717
(478) 743-4700
(478) 743-1103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006041
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00029796A
—
GA
01
—
2012571
PK
—
Enumeration date
02/02/2007
Last updated
12/09/2014
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