Individual provider · Type 1 NPI

Tony Ray Kincannon

Pharmacist · Cartersville, GA

NPI number 1992096200 Active

Practice location

954 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129

Call (770) 383-3055 Map

Mailing address

150 Gaddis Rd NW
Cartersville, GA 30120-4679

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X11511 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1992096200

Tony Ray Kincannon's National Provider Identifier is 1992096200, issued on Apr 21, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Cartersville, GA. The record was last updated on Apr 21, 2011.