Organization
2-K PHARMAKON SERVICES LLC
Active
Other names
Twin City Drug Co.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BRANT KICKLIGHTER JR. PHARMD. (OWNER/MANAGER)
(478) 763-2151
Entity
Organization
Contact information
Practice address
507 S RAILROAD AVE, TWIN CITY, GA 30471
(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
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010173
GA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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