Individual
DR. CASEY KILLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
358 GEORGE W LILES PKWY NW, CONCORD, NC 28027-2406
(704) 786-2534
(704) 786-2584
Mailing address
97 GROVE AVE NW, CONCORD, NC 28025-4954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18966
NC
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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