Organization
KILLDEER PHAMRACY INC
Active
Organization
KILLDEER PHAMRACY INC
Active
Other names
New England Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY A DOE RPH (OWNER)
(701) 579-4130
Entity
Organization
Contact information
Practice address
713 EAST MAIN STREET, NEW ENGLAND, ND 58647
(701) 579-4130
(701) 579-4899
Mailing address
713 EAST MAIN STREET, NEW ENGLAND, ND 58647
(701) 579-4130
(701) 579-4899
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
590
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21388
—
ND
Enumeration date
08/22/2006
Last updated
02/03/2009
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