Provider Demographics
NPI:1871196774
Name:ROYER, KAYLA JEAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:JEAN
Last Name:ROYER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 8TH ST SW
Mailing Address - Street 2:
Mailing Address - City:PIPESTONE
Mailing Address - State:MN
Mailing Address - Zip Code:56164-1069
Mailing Address - Country:US
Mailing Address - Phone:712-269-6019
Mailing Address - Fax:
Practice Address - Street 1:2010 JUNIPER AVE
Practice Address - Street 2:
Practice Address - City:SLAYTON
Practice Address - State:MN
Practice Address - Zip Code:56172-1017
Practice Address - Country:US
Practice Address - Phone:507-873-2075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN124714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist