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General NPI Number Information
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NPI Number | 1104831734
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Entity Type | Organization
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Legal Business Name | KILLEN DRUGS INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1621 HIGHWAY 72
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City | KILLEN
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State | AL
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Zip | 35645-9142
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Country | US
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Telephone | 256-757-2166
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Fax | 256-757-9580
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | KILLEN
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State | AL
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Zip | 35645-0057
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JENNIFER SPRY
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Credential | RPH
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Telephone | 256-757-2166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 105810
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License Number State | AL
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