Organization
2-K PHARMAKON SERVICES LLC
Active
Other names
Twin City Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KICKLIGHTER (PRESIDENT)
(478) 763-2151
Entity
Organization
Contact information
Practice address
507 S RAILROAD AVE, TWIN CITY, GA 30471-4355
(478) 763-2151
(478) 763-3833
Mailing address
PO BOX 1040, TWIN CITY, GA 30471-1040
(478) 763-2151
(478) 763-3833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154479
PK
—
Enumeration date
10/03/2006
Last updated
02/21/2017
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