Most Relevant Information
Provider Data
| NPI Number: | 1003689571 |
| Provider Name: | PAUL RYAN KILLIAN PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1835C0205X |
| Specialty: | Pharmacist |
| License Number: | PD10801 |
Most Important Dates
| Enumeration Date: | 11/06/2023 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
624 HOSPITAL DR
MOUNTAIN HOME
AR
726532955
Practice Location Phone/Fax
| Phone: | 8705081377 |
| Fax: | 8705081315 |
Provider Mailing Location
PO BOX 684
CALICO ROCK
AR
725190684
Provider Mailing Phone/Fax
| Phone: | 8704042830 |
| Fax: |