Organization
KILGORE INC
Active
Parent organization
KILGORE INC
Other names
Kilgore's Medical Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KILGORE INC
Authorized official
WILLIAM MORRISSEY (PRESIDENT)
(573) 442-0914
Entity
Organization
Contact information
Practice address
700 N PROVIDENCE RD, COLUMBIA, MO 65203-4373
(573) 442-0194
Mailing address
700 N PROVIDENCE RD, COLUMBIA, MO 65203-4373
(573) 442-0194
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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