Individual
KRISTEN ANN WULKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
645 BARRETT PKWY, KENNESAW, GA 30144-4922
(770) 794-7399
Mailing address
645 BARRETT PKWY, KENNESAW, GA 30144-4922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030799
GA
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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