Organization
KILLEEN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIZI NGUYEN (PRESIDENT)
(267) 257-4622
Entity
Organization
Contact information
Practice address
218 E AVENUE B, KILLEEN, TX 76541-5223
(254) 247-3979
Mailing address
218 E AVENUE B, KILLEEN, TX 76541-5223
(254) 247-3979
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146918
—
TX
Enumeration date
10/07/2013
Last updated
08/01/2014
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