# KILLEN PHARMACY

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

## Provider details

- **NPI number:** 1912912528
- **Authorized official:** KIM BLANKINSHIP RPH (PRESIDENT)
- **Authorized official phone:** (256) 229-5550

## Contact information

- **Practice address:** 1161 HIGHWAY 72, KILLEN, AL 35645-9101
- **Practice address phone:** (256) 757-1161
- **Practice address fax:** (256) 757-1132
- **Mailing address:** PO BOX 1285, KILLEN, AL 35645-1285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 112748 | AL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 10/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0133570 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |