Healthcare Provider Details

I. General information

NPI: 1104831734
Provider Name (Legal Business Name): KILLEN DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 HIGHWAY 72
KILLEN AL
35645-9142
US

IV. Provider business mailing address

PO BOX 57
KILLEN AL
35645-0057
US

V. Phone/Fax

Practice location:
  • Phone: 256-757-2166
  • Fax: 256-757-9580
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number105810
License Number StateAL

VIII. Authorized Official

Name: JENNIFER SPRY
Title or Position: VICE PRESIDENT
Credential: RPH
Phone: 256-757-2166