Organization
KENNESTONE HOSPITAL INC
Active
Other names
WellStar Pharmacy Network
Organization subpart
No
Provider details
NPI number
Authorized official
SNEHAL DOSHI RPH (VICE PRESIDENT OF PHARMACY)
(470) 644-0392
Entity
Organization
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-9300
(770) 793-9945
Mailing address
PO BOX 741683, ATLANTA, GA 30374-1683
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009758
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112055A
—
GA
01
—
2129661
PK
—
Enumeration date
03/21/2011
Last updated
02/24/2020
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