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Individual

MR. KENNETH MICHAEL HARBIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL PHARMACY, ATLANTA, GA 30342-1606
(404) 459-1748
Mailing address
1375 MILFORD CHURCH RD SW, MARIETTA, GA 30008-6898
(770) 432-3211

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014046
GA

Other

Enumeration date
08/09/2005
Last updated
07/08/2007
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