| NPI | 1609974633 |
|---|---|
| Doing Business As | KILGORE EXPRESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOTHA KILGORE Owner 256-845-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 112680) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-12-24 |