Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Ta

Individual provider Pharmacist · NPI 1427658087

Kelly Ta is a Pharmacist in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
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Practice location Address checks out

1400 Lawrenceville Hwy
Lawrenceville, GA 30044-2029
Phone: (770) 682-5605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH027249 (GA)

Record details

NPI number1427658087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 31, 2020
Last updated in NPPESOctober 31, 2020
Certification dateOctober 31, 2020
Mailing address1400 Lawrenceville Hwy, Lawrenceville, GA 30044-2029

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