Organization
KILLDEER PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY A DOE RPH (OWNER)
(701) 764-5093
Entity
Organization
Contact information
Practice address
220 4TH AVE SW STE B, KILLDEER, ND 58640-8500
(701) 764-5093
(701) 764-5094
Mailing address
220 4TH AVE SW STE B, KILLDEER, ND 58640-8500
(701) 764-5093
(701) 764-5094
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
58
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21196
—
ND
01
—
3503744
NCPDP NUMBER
ND
Enumeration date
08/21/2006
Last updated
02/19/2026
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