Organization
KENGARD ENTERPRISES LLC
Active
Organization
KENGARD ENTERPRISES LLC
Active
Other names
Kent Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY KENT PHARM.D. (RPH)
(641) 203-1597
Entity
Organization
Contact information
Practice address
1765 LININGER LN, SUITE 300, NORTH LIBERTY, IA 52317-2316
(319) 626-6020
(319) 626-6022
Mailing address
PO BOX 327, WILLIAMSBURG, IA 52361-0327
(641) 203-1597
(319) 626-6022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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