Individual
BRIAN K KILLEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
200 N MADISON ST, ATTN: PHARMACY DEPT, MARSHALL, MI 49068-1143
(269) 789-3905
(269) 789-3975
Mailing address
200 N MADISON ST, ATTN: PHARMACY DEPT, MARSHALL, MI 49068-1143
(269) 789-3905
(269) 789-3975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023352
MI
Other
Enumeration date
09/23/2006
Last updated
11/17/2009
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