| Dr Kennon Latrell Tyre Iii, PHARMD | |
|
410 Darling Ave, Pharmacy Department, Waycross, GA 31501-5246 | |
| (912) 287-2640 | |
| (912) 287-2642 |
| Full Name | Dr Kennon Latrell Tyre Iii |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 410 Darling Ave, Waycross, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629068895 | NPI | - | NPPES |
| 18517 | Other | GA | GA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 18517 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kennon Latrell Tyre Iii, PHARMD 937 Dogwood Dr, Blackshear, GA 31516-2302 Ph: (912) 449-8634 | Dr Kennon Latrell Tyre Iii, PHARMD 410 Darling Ave, Pharmacy Department, Waycross, GA 31501-5246 Ph: (912) 287-2640 |
Dr. Jamie Lynn Adams, PHARM.D, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1803 Knight Ave, Waycross, GA 31501 Phone: 912-285-4630 | |
Lauren Elizabeth Lee, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2425 Memorial Dr, Waycross, GA 31503 Phone: 912-285-3939 | |
Evan Darwin Anderson, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1740 Memorial Dr, Waycross, GA 31501 Phone: 912-338-9127 Fax: 912-338-9847 | |
Dr. Jason Ted Wade, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1606 Memorial Dr, Waycross, GA 31501 Phone: 912-287-2277 Fax: 912-287-0571 | |
Anna Grace Mcleod, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1401 Alice St, Waycross, GA 31501 Phone: 912-283-1646 | |
Don Michael Shepherd, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1803 Knight Ave, Waycross, GA 31501 Phone: 912-285-4630 Fax: 912-283-8929 | |
Shelby Rumker, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1800 Brunswick Hwy, Waycross, GA 31501 Phone: 912-285-2171 |