Individual
KENYARDA DURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1060 LAKES BLVD, LAKE PARK, GA 31636-3013
(229) 559-7736
Mailing address
1060 LAKES BLVD, LAKE PARK, GA 31636-3013
(229) 559-7736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-031111
GA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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