# SENIOR LIFE PHARMACY GA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Senior Life Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912892506
- **Authorized official:** KASEY WILLIAM KNIGHT (OWNER)
- **Authorized official phone:** (912) 223-6326

## Contact information

- **Practice address:** 106 OAK ST, THOMASVILLE, GA 31792-5435
- **Practice address phone:** (844) 933-5433
- **Practice address fax:** (229) 212-7509
- **Mailing address:** 106 OAK ST, THOMASVILLE, GA 31792-5435
- **Mailing address phone:** (844) 933-5433
- **Mailing address fax:** (229) 212-7509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2025
- **Last updated:** 09/01/2026