Organization
KILN PHARMACY
Active
Other names
KILN PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER FAILLA RPH (OWNER)
(228) 586-1998
Entity
Organization
Contact information
Practice address
17343 HIGHWAY 603, UNIT E, KILN, MS 39556-8389
(228) 586-1998
(228) 586-1961
Mailing address
PO BOX 187, KILN, MS 39556-0187
(228) 586-1998
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
06727/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09926237
—
MS
01
—
2047228
PK
—
Enumeration date
12/13/2006
Last updated
05/02/2016
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