Individual
MRS. JODI MARIE GADER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM D RPH
Contact information
Practice address
1304 E BOULEVARD AVE, BISMARCK, ND 58501-4234
(701) 224-0175
(701) 224-1285
Mailing address
1304 E BOULEVARD AVE, BISMARCK, ND 58501-4234
(701) 224-0175
(701) 224-1285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
ND4693
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22211
BLUE CROSS BLUE SHIELD
ND
Enumeration date
01/30/2006
Last updated
07/08/2007
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