Dr. Kennon Latrell Tyre Iii
Pharmacist
410 Darling Ave, Pharmacy Department, Waycross
Georgia, 31501-5246
912-287-2640 912-287-2642
Dr. Kennon Latrell Tyre Iii is a pharmacist in Waycross, Georgia. Patients can reach him at 410 Darling Ave, Pharmacy Department, Waycross or contact him on 912-287-2640. Active license number of Dr. Kennon Latrell Tyre Iii is 18517 for Pharmacist in Georgia.
Dr. Kennon Latrell Tyre Iii is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Dr. Kennon Latrell Tyre Iii speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Kennon Latrell Tyre Iii |
| Specialization: | Pharmacist |
| Credentials: | PHARM.D. |
| Gender: | Male |
| Location: | 410 Darling Ave, Pharmacy Department, Waycross,
Georgia, 31501-5246 |
| Phone: | 912-287-2640 |
| Fax: | 912-287-2642 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Kennon Latrell Tyre Iii are as mentioned below.
| NPI Number: | 1629068895 |
| NPI Enumeration Date: | 27 Oct, 2005 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kennon Latrell Tyre Iii are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 18517 | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kennon Latrell Tyre Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 18517 | Other | Georgia | Ga License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 937 Dogwood Dr,
Blackshear, Georgia |
| Zip: | 31516-2302 |
| Phone Number: | 912-449-8634 |
Patients can reach Dr. Kennon Latrell Tyre Iii at
410 Darling Ave, Pharmacy Department, Waycross, Georgia or can
call on phone at 912-287-2640.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.