Individual
MR. JOHN LOWRY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1716 E BROAD ST, STATESVILLE, NC 28625-4306
(704) 872-8131
Mailing address
620 BERKSHIRE DR, STATESVILLE, NC 28677-6020
(704) 873-6297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4799
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496603
—
NC
Enumeration date
09/25/2009
Last updated
09/25/2009
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