Organization
JAMES K KILLGORE INC
Active
Other names
KILLGORES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KILLGORE RPH (OWNER)
(318) 624-1122
Entity
Organization
Contact information
Practice address
1909 MAIN ST, HAYNESVILLE, LA 71038-4907
(318) 624-1122
(318) 624-3343
Mailing address
1909 MAIN ST, HAYNESVILLE, LA 71038-3706
(318) 624-1122
(318) 624-3343
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001921-IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255696
—
LA
01
—
2030861
PK
—
Enumeration date
01/08/2007
Last updated
09/19/2025
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