Kilgore Pharmacy LLC
NPI #1972202067 in Haynesville, Louisiana
Provider Information
- NPI Number
- 1972202067
- Entity Type
- Organization
- Organization Name
- Kilgore Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 27, 2023
- Last Updated
- May 3, 2025
Practice Location
- Address
- 1909 MAIN ST
- City
- Haynesville
- State
- Louisiana
- ZIP Code
- 71038-4907
- Phone
- (318) 624-1122
Authorized Official
- Name
- OLUWAFEMI ADEGBOYEGA
- Title
- OWNER
- Phone
- (708) 945-0269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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