Provider Demographics
NPI:1932761723
Name:STONE, KAYLA SAMONE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:SAMONE
Last Name:STONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:SAMONE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:12182 HWY 92
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188
Mailing Address - Country:US
Mailing Address - Phone:770-591-9402
Mailing Address - Fax:770-591-9513
Practice Address - Street 1:12182 HWY 92
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188
Practice Address - Country:US
Practice Address - Phone:770-591-9402
Practice Address - Fax:770-591-9513
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist