Individual
KEVIN SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3245 COBB PKWY NW, ACWORTH, GA 30101-3938
(770) 974-0936
Mailing address
3245 COBB PKWY NW, ACWORTH, GA 30101-3938
(770) 974-0936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS54508
FL
183500000X
Pharmacist
Primary
RPH028991
GA
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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