# KILLIAN HILL RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KILLIAN HILL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316613334
- **Authorized official:** BEAU MARTINEZ PHARMACIST (PHARMACIST IN CHARGE)
- **Authorized official phone:** (714) 929-9763

## Contact information

- **Practice address:** 1098 BERMUDA RUN STE 5, STATESBORO, GA 30458-0878
- **Practice address phone:** (678) 933-8965
- **Mailing address:** 7780 WENTWORTH DR, DULUTH, GA 30097-1609
- **Mailing address phone:** (678) 933-8965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2021
- **Last updated:** 09/09/2021