Organization
KENNEDY DRUGS
Active
Other names
Kennedy Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA MACHALK (OWNER)
(478) 625-7575
Entity
Organization
Contact information
Practice address
524 POPLAR ST, MACON, GA 31201-2717
(478) 743-4700
(478) 743-1103
Mailing address
101 E BROAD ST, LOUISVILLE, GA 30434-1619
(478) 625-7575
(478) 625-7798
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006041
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154967
PK
—
Enumeration date
11/02/2015
Last updated
11/02/2015
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