Organization · Type 2 NPI

Kennestone Hospital, Inc

Community/Retail Pharmacy · Austell, GA

NPI number 1386943009 Active

Practice location

3950 Austell Rd, Suite 8
Austell, GA 30106-1121

Call (470) 732-2111 Map

Fax (678) 495-8798

Mailing address

PO Box 741705
Atlanta, GA 30374-1705

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

288 other providers at this address

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NPI record

NPI: 1386943009
Entity type: Organization (Type 2)
Issued: Mar 21, 2011
Last updated: May 6, 2020
Status: Active

Other names

<unavail>
Wellstar Pharmacy Network · doing business as
Wellstar Pharmacy Network · doing business as

Authorized official

Ebenezer Erzuah
Exec Director Reimbursement
(470) 956-4981

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386943009

Kennestone Hospital, Inc's National Provider Identifier is 1386943009, issued on Mar 21, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Austell, GA. The record was last updated on May 6, 2020.