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General NPI Number Information
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NPI Number | 1700968583
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Entity Type | Organization
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Legal Business Name | KILLION'S PHARMACY, LLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 396 W TEXAS AVE
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City | WASKOM
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State | TX
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Zip | 75692-9113
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Country | US
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Telephone | 903-687-2525
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Fax | 903-687-2526
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Provider Business Mailing Address
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Address Line | PO BOX 687
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City | WASKOM
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State | TX
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Zip | 75692-0687
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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 | OWNER/PIC
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Name | ROSA RIVAS
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Credential |
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Telephone | 903-687-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 01734
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License Number State | TX
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