Kilgore, Pamela Grisham

Kilgore, Pamela Grisham is an individual health care provider with primary practice located at 209 Speight Ave #214 Mclane Student Life Complex - Pharmacy, Waco TX 76706. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kilgore, Pamela Grisham can be contacted via phone (254) 710-4268.

Contact Information

Primary practice address
209 Speight Ave #214 Mclane Student Life Complex - Pharmacy Waco TX 76706
Phone: (254) 710-4268
Fax: (254) 710-3620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 29050 Texas

Profile Details

NPI number 1467546028
LBN Legal business name Kilgore, Pamela Grisham
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467546028 NPPES
Texas Other 29050 TEXAS RPH LICENSE NUMBER

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