Organization · NPI-2
Killian Hill Rx LLC
Pharmacy, Community/Retail Pharmacy · Lilburn, GA
NPI number1083421044
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1083421044
- Entity type
- Organization (NPI-2)
- Legal business name
- Killian Hill Rx LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2024
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Killian Hill Pharmacy (Doing Business As)
Practice location
1025 Killian Hill Rd Sw Ste ALilburn, GA 30047-7601
Phone 770-676-5686 · Fax 770-676-5684
Mailing address
1025 Killian Hill Rd Sw Ste ALilburn, GA 30047-7601
Phone 770-676-5686 · Fax 770-676-5684
Authorized official
Neil Patel
Pharmacist
4043242135
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