Individual
BETHANY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
3650 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 210-7991
Mailing address
2323 GREENGATE DR, AUGUSTA, GA 30907-3539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PST.023145
LA
183500000X
Pharmacist
Primary
RPH032380
GA
Other
Enumeration date
12/09/2020
Last updated
12/21/2022
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