Organization
KEMPS PHARMACY INC
Active
Other names
KEMPS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HAL KEMP PHARMD (MGR)
(912) 739-2745
Entity
Organization
Contact information
Practice address
107 S DUVAL ST, STE A, CLAXTON, GA 30417-2029
(912) 739-2745
(912) 739-1125
Mailing address
PO BOX 97, CLAXTON, GA 30417-0097
(912) 739-2745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE002398
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00054755A
—
GA
01
—
2012110
PK
—
Enumeration date
11/08/2006
Last updated
12/18/2016
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