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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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