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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