Individual
BRIAN LEE KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1916 W 10TH ST, MARION, IN 46953-1239
(765) 667-8387
Mailing address
1916 W 10TH ST, MARION, IN 46953-1239
(765) 667-8387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014774A
IN
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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