MR. KENNETH WESLEY JASCOMB, RPH
Pharmacy at Johnson Ferry Rd, Atlanta, GA

License number
Georgia RPH014048
Category
Pharmacy
Type
Pharmacist
Address
Address 2
1000 Johnson Ferry Rd NE, Atlanta, GA 30342
1677 Baywood Ct, Lawrenceville, GA 30043
Phone
(404) 851-6265
National Provider ID: 1255325965
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Kenneth W Jascomb, age 66
1677 Baywood Ct, Lawrenceville, GA 30043
(678) 377-6960
Kenneth W Jascomb, age 70
255 Shady Grove Ln, Alpharetta, GA 30004
Kenneth W Jascomb, age 66
3714 Laurel Dr, Acworth, GA 30101
(770) 974-5451
(770) 974-5457

Organization information

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Kenneth Wesley Jascomb

1677 Baywood Ct, Lawrenceville, GA 30043

Industry:
Business Services at Non-Commercial Site

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