Provider Demographics
NPI:1861488264
Name:KILLORAN, ROBERT LAURENCE (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LAURENCE
Last Name:KILLORAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:49 DERBYSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-9260
Mailing Address - Country:US
Mailing Address - Phone:717-241-2420
Mailing Address - Fax:717-241-2420
Practice Address - Street 1:520 BRINKER AVE
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1535
Practice Address - Country:US
Practice Address - Phone:888-273-0325
Practice Address - Fax:724-539-8130
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist