Provider Demographics
NPI:1053694836
Name:KILLMEIER, CHRIS (RPH)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:KILLMEIER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 THRUSH RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-1339
Mailing Address - Country:US
Mailing Address - Phone:502-637-9876
Mailing Address - Fax:
Practice Address - Street 1:5111 COMMERCE CROSSINGS DR STE 130
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-3128
Practice Address - Country:US
Practice Address - Phone:502-585-7677
Practice Address - Fax:502-585-7678
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist