Organization
SENIOR LIFE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEY WILLIAM KNIGHT (OWNER)
(912) 223-6326
Entity
Organization
Contact information
Practice address
309 SMITH AVE, THOMASVILLE, GA 31792-5534
(229) 236-5012
(229) 236-5014
Mailing address
PO BOX 1262, THOMASVILLE, GA 31799-1262
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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