Healthcare Provider Details

I. General information

NPI: 1568093250
Provider Name (Legal Business Name): MARLENA KENNEDY RICE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 PEACHTREE EXCHANGE BLVD
HOSCHTON GA
30548-2513
US

IV. Provider business mailing address

175 PEACHTREE EXCHANGE BLVD
HOSCHTON GA
30548-2513
US

V. Phone/Fax

Practice location:
  • Phone: 706-921-1520
  • Fax: 706-921-1436
Mailing address:
  • Phone: 706-921-1520
  • Fax: 706-921-1436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH022075
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: