Killgores Pharmacy
LBN: James K Killgore Inc
Killgores Pharmacy is an health care organization with primary practice located at 1909 Main St , Haynesville LA 71038-4907. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
James K Killgore Inc can be contacted via phone (318) 624-1122, or through Killgore, James via phone (318) 624-1122.
Contact Information
Primary practice address
1909 Main St
Haynesville LA 71038-4907
Phone: (318) 624-1122
Fax: (318) 624-3343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY.001921-IR | Louisiana |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1477601946 |
|---|---|
| LBN Legal business name | James K Killgore Inc |
| DBA Doing business as | Killgores Pharmacy |
| Authorized official | Killgore, James RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 19th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477601946 | NPPES |
| Louisiana | MEDICAID | 1255696 | |
| Louisiana | Other | 2030861 |
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