Organization
CAMDEN PHARMACY INC
Active
Other names
CAMDEN PHARMACY INC, CAMDEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LEE KICKLIGHTER (PIC)
(912) 673-8220
Entity
Organization
Contact information
Practice address
214 PROFESSIONAL CIR STE B, SAINT MARYS, GA 31558-3783
(912) 673-8220
(912) 673-7035
Mailing address
214 PROFESSIONAL CIR STE B, SAINT MARYS, GA 31558-3783
(912) 673-8220
(912) 673-7035
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009019
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016284
PK
—
05
—
455711609A
—
GA
Enumeration date
05/11/2006
Last updated
03/31/2020
Update your record
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