Provider Demographics
NPI:1154901130
Name:WEEKS, KENDYL CAROLINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KENDYL
Middle Name:CAROLINE
Last Name:WEEKS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:KENDYL
Other - Middle Name:CAROLINE
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1408 FELDSPAR CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-0079
Mailing Address - Country:US
Mailing Address - Phone:706-829-8436
Mailing Address - Fax:
Practice Address - Street 1:2260 WRIGHTSBORO RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-4764
Practice Address - Country:US
Practice Address - Phone:706-481-7529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032105183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist