Killdeer Pharmacy Inc.

LBN: Killdeer Pharmacy Inc.
Killdeer Pharmacy Inc. is an health care organization with primary practice located at 14 South Central Ave , Killdeer ND 58640. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Killdeer Pharmacy Inc. can be contacted via phone (701) 764-5093, or through Doe, Jody A via phone (701) 764-5093.

Contact Information

Primary practice address
14 South Central Ave Killdeer ND 58640
Phone: (701) 764-5093
Fax: (701) 764-5094
Website:
Map and Directions
Authorized official contact:
Name: Doe, Jody A RPH
Phone: (701) 764-5093

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 58 North Dakota

Profile Details

NPI number 1508972936
LBN Legal business name Killdeer Pharmacy Inc.
DBA Doing business as
Authorized official Doe, Jody A RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508972936 NPPES
North Dakota MEDICAID 21196
North Dakota Other 3503744

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