Provider Demographics
NPI:1922273135
Name:KILGORE, JENNIFER PACE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:PACE
Last Name:KILGORE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ALLEN
Other - Last Name:PACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:1660 OLD MONROVIA RD NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806
Mailing Address - Country:US
Mailing Address - Phone:256-970-6319
Mailing Address - Fax:265-417-4259
Practice Address - Street 1:1660 OLD MONROVIA RD NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806
Practice Address - Country:US
Practice Address - Phone:256-970-6319
Practice Address - Fax:265-417-4259
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist