Provider Demographics
NPI:1558767731
Name:KAYTON PHARMACY LLC
Entity Type:Organization
Organization Name:KAYTON PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEFOLAKE
Authorized Official - Middle Name:TOLULOPE
Authorized Official - Last Name:OJEMUYIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-600-5666
Mailing Address - Street 1:PO BOX 43701
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30336-0701
Mailing Address - Country:US
Mailing Address - Phone:404-600-5666
Mailing Address - Fax:678-949-9397
Practice Address - Street 1:541 FOREST PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-6144
Practice Address - Country:US
Practice Address - Phone:404-600-5666
Practice Address - Fax:678-949-9397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy