Individual
ROGER E KILLPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
215 W MAIN ST, DELTA, UT 84624-9257
(435) 864-2545
(435) 864-5925
Mailing address
215 W MAIN ST, DELTA, UT 84624-9257
(435) 864-2545
(435) 864-5925
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
148723-1701
UT
183500000X
Pharmacist
329033-1703
UT
Other
Enumeration date
01/18/2007
Last updated
04/07/2017
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