Individual
KATIE JO MCKILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1185
Mailing address
1008 S STRONG DR, GALLUP, NM 87301-5967
(614) 806-8781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03328880
OH
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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