Organization
KILLEN PHARMACY
Active
Other names
FOODLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BLANKINSHIP RPH (PRESIDENT)
(256) 229-5550
Entity
Organization
Contact information
Practice address
1161 HIGHWAY 72, KILLEN, AL 35645-9101
(256) 757-1161
(256) 757-1132
Mailing address
PO BOX 1285, KILLEN, AL 35645-1285
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112748
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133570
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
10/22/2008
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