Kilgore Pharmacy Llc

LBN: Kilgore Pharmacy Llc
Kilgore Pharmacy Llc is an health care organization with primary practice located at 1909 Main St , Haynesville LA 71038-4907. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Kilgore Pharmacy Llc can be contacted via phone (318) 624-1122, or through Adegboyega, Oluwafemi via phone (708) 945-0269.

Contact Information

Primary practice address
1909 Main St Haynesville LA 71038-4907
Phone: (318) 624-1122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adegboyega, Oluwafemi
Phone: (708) 945-0269

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902670243
LBN Legal business name Kilgore Pharmacy Llc
DBA Doing business as
Authorized official Adegboyega, Oluwafemi
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2023
Last updated May 3rd, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902670243 NPPES
Louisiana MEDICAID 2210017

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