Provider Demographics
NPI:1649550112
Name:KUNS, RANDI JOWERS (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RANDI
Middle Name:JOWERS
Last Name:KUNS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2814
Mailing Address - Country:US
Mailing Address - Phone:706-543-2951
Mailing Address - Fax:706-543-8153
Practice Address - Street 1:110 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2814
Practice Address - Country:US
Practice Address - Phone:706-543-2951
Practice Address - Fax:706-543-8153
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist