Kimpam, Inc. Dba. the Medicine Shoppe

NPI #1801951272 in Covington, Georgia

Provider Information

NPI Number: 1801951272
Entity Type: Organization
Organization Name: Kimpam, Inc. Dba. the Medicine Shoppe
Primary Specialty: Pharmacist
Enumeration Date: Dec 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2155 PACE ST
City: Covington
State: Georgia
ZIP Code: 30014-6652
Phone: (770) 787-5698

Authorized Official

Name: MR. JACK HAROLD MCCLANAHAN JR., RPH.
Title: OWNER
Phone: (770) 787-5698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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