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NPI Code Detail

MEDICARE: KALEB DEON POWE RPH

MEDICARE: KALEB DEON POWE RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH036156GA

General Provider Information

NPI Number : 1144162454
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEB DEON POWE RPH
Provider Business Mailing Address
First Line : 3700 MACON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-2248
Country : US
Telephone Number : 706-568-6878
Fax Number : 706-568-6639
Provider Business Practice Location Address
First Line : 3700 MACON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-2248
Country : US
Telephone Number : 706-568-6878
Fax Number : 706-568-6639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ KALEB DEON POWE RPH” Practice Location

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