Organization
KENNESTONE HOSPITAL INC
Active
Other names
WellStar Pharmacy Network
Organization subpart
No
Provider details
NPI number
Authorized official
SNEHAL DOSHI (VICE PRESIDENT OF PHARMACY)
(470) 644-0392
Entity
Organization
Contact information
Practice address
3747 ROSWELL RD, MARIETTA, GA 30062-6215
(470) 956-0170
(678) 560-5948
Mailing address
PO BOX 743081, ATLANTA, GA 30374-3081
(470) 956-0170
(678) 560-5948
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010072
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151812A
—
GA
01
—
2147795
PK
—
Enumeration date
09/24/2014
Last updated
02/24/2020
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