Jennifer Klos

NPI #1164936845 in Tyrone, Georgia

Provider Information

NPI Number: 1164936845
Entity Type: Individual
Name: Jennifer Klos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 16, 2017
Last Updated: Nov 16, 2017

Practice Location

Address: 1512 HIGHWAY 74 N
City: Tyrone
State: Georgia
ZIP Code: 30290-1663
Phone: (770) 774-2787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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