Organization
KILLION'S PHARMACY, LLC
Active
Other names
Killion's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA RIVAS (OWNER/PIC)
(903) 687-2525
Entity
Organization
Contact information
Practice address
396 W TEXAS AVE, WASKOM, TX 75692-9113
(903) 687-2525
(903) 687-2526
Mailing address
PO BOX 687, WASKOM, TX 75692-0687
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143359
—
TX
01
—
2099384
PK
—
Enumeration date
10/20/2006
Last updated
06/12/2025
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