Individual
KIMBERLY RUDD STOREY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 845-3731
(706) 845-3455
Mailing address
PO BOX 751, PINE MOUNTAIN, GA 31822-0751
(706) 845-3731
(706) 845-3455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022447
GA
Other
Enumeration date
11/26/2005
Last updated
07/08/2007
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