Organization
K & D PHARMACY INC
Active
Other names
LEE AND PICKELS DRUGSTORE
Organization subpart
No
Provider details
NPI number
Authorized official
KASEY KNIGHT (OWNER)
(229) 263-4061
Entity
Organization
Contact information
Practice address
121 N LEE ST, QUITMAN, GA 31643-2123
(229) 263-4061
(229) 263-5950
Mailing address
302 E SCREVEN ST, QUITMAN, GA 31643-2178
(229) 263-4061
(229) 263-5950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE009745
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
PHRE009745
GA
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHRE009745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030709A
—
GA
05
—
003169273A
—
GA
01
—
2130639
PK
—
Enumeration date
04/25/2011
Last updated
02/15/2022
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