Individual
ALLAN I KART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1351 BOONE AVENUE EXT E, KINGSLAND, GA 31548-6515
(912) 729-6450
Mailing address
96190 LONG BEACH DR, FERNANDINA BEACH, FL 32034-8719
(904) 548-1142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00641539H
—
GA
Enumeration date
03/31/2007
Last updated
07/09/2007
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