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Individual

KAYLEY PACIFIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4290 BELLS FERRY RD NW, KENNESAW, GA 30144-7140
(770) 516-0686
Mailing address
4290 BELLS FERRY RD NW, KENNESAW, GA 30144-7140

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025953
GA

Other

Enumeration date
01/24/2013
Last updated
01/24/2013
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