Organization
K & D PHARMACY
Active
Parent organization
K & D PHARMACY
Other names
K & D Pharmacy DME Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
K & D PHARMACY
Authorized official
KASEY KNIGHT (OWNER)
(229) 263-4061
Entity
Organization
Contact information
Practice address
302 E SCREVEN ST, QUITMAN, GA 31643-2178
(229) 263-4061
(229) 263-5950
Mailing address
302 E SCREVEN ST, QUITMAN, GA 31643-2178
(229) 263-4061
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHRE009745
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
PHRE009745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169273A
—
GA
Enumeration date
08/24/2016
Last updated
08/24/2016
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