| NPI | 1366573297 |
|---|---|
| Doing Business As | PEMBROKE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | KENNETH BRANT KICKLIGHTER President/Owner 912-653-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE005854) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-05-27 |