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Organization
KILGORE EXPRESS PHARMCY INC
Active
Organization
KILGORE EXPRESS PHARMCY INC
Active
Other names
KILGORE EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOTHA KILGORE (OWNER)
(256) 845-6640
Entity
Organization
Contact information
Practice address
5999 HIGHWAY 72 E, GURLEY, AL 35748-9460
(256) 776-4430
(256) 776-4523
Mailing address
PO BOX 680905, FORT PAYNE, AL 35968-1610
(256) 845-6640
(256) 845-6796
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
111989
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134988
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/02/2008
Last updated
12/24/2019
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