# KILGORE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Killgore Pharmacy, Killlgore Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972202067
- **Authorized official:** OLUWAFEMI ADEGBOYEGA (OWNER)
- **Authorized official phone:** (708) 945-0269

## Contact information

- **Practice address:** 1909 MAIN ST, HAYNESVILLE, LA 71038-4907
- **Practice address phone:** (318) 624-1122
- **Practice address fax:** (318) 624-3343
- **Mailing address:** 1909 MAIN ST, HAYNESVILLE, LA 71038-4907
- **Mailing address phone:** (318) 624-1122
- **Mailing address fax:** (318) 624-3343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2023
- **Last updated:** 05/03/2025