Individual
MR. JODY A. DOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
220 4TH AVE SW, KILLDEER, ND 58640-8500
(701) 764-5093
(701) 764-5094
Mailing address
229 TABOR DRIVE, PO BOX 238, KILLDEER, ND 58640-0238
(701) 764-5623
(701) 764-5094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4525
ND
Other
Enumeration date
03/22/2007
Last updated
12/12/2024
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