Malken Pharm Services INC

NPI #1366573297 in Pembroke, Georgia

Provider Information

NPI Number: 1366573297
Entity Type: Organization
Organization Name: Malken Pharm Services INC
Primary Specialty: Pharmacy
Enumeration Date: Mar 9, 2007
Last Updated: May 27, 2020

Practice Location

Address: 137 E. BACON ST
City: Pembroke
State: Georgia
ZIP Code: 31321
Phone: (912) 653-2772

Authorized Official

Name: DR. KENNETH BRANT KICKLIGHTER, PHARMD
Title: PRESIDENT/OWNER
Phone: (912) 653-2772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X

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