Kilgore Express Pharmacy
LBN: Kilgore Express Pharmacy Inc
Kilgore Express Pharmacy is an health care organization with primary practice located at 103 Greenhill Blvd Nw , Fort Payne AL 35967-3701. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kilgore Express Pharmacy Inc can be contacted via phone (256) 845-6640, or through Kilgore, Lotha via phone (256) 845-6640.
Contact Information
Primary practice address
103 Greenhill Blvd Nw
Fort Payne AL 35967-3701
Phone: (256) 845-6640
Fax: (256) 845-9796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 112680 | Alabama |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1609974633 |
|---|---|
| LBN Legal business name | Kilgore Express Pharmacy Inc |
| DBA Doing business as | Kilgore Express Pharmacy |
| Authorized official | Kilgore, Lotha RPH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Dec 24th, 2019 - about 5 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 | 1609974633 | NPPES |
| Other | 1995543 | PK | |
| MEDICAID | 009935092 | PK | |
| MEDICAID | 100003635 | PK |
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