Kenwood Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Fayetteville, GA. Organization (NPI-2).
NPI number1285649822
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1285649822
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenwood Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | PHRE009020 | GA |
Practice location
101 Kenwood RdSte 28
Fayetteville, GA 30214-3459
Phone 770-460-1065 · Fax 770-460-1066
Mailing address
101 Kenwood RdSte 28
Fayetteville, GA 30214-3459
Authorized official
Lorren Bartholomew
General Mgr
7702311616
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All 12 Community/Retail Pharmacy providers in Fayetteville · All 2,252 providers in Fayetteville
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