Provider Demographics
NPI:1679084115
Name:K & K DRUGS INC
Entity Type:Organization
Organization Name:K & K DRUGS INC
Other - Org Name:DOWNTOWN PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KRENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-583-5599
Mailing Address - Street 1:151 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-3620
Mailing Address - Country:US
Mailing Address - Phone:919-922-0051
Mailing Address - Fax:919-922-0051
Practice Address - Street 1:151 N CENTER ST
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-3620
Practice Address - Country:US
Practice Address - Phone:919-922-0051
Practice Address - Fax:919-922-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC134043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2175469OtherPK