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Contact Information

KILLDEER PHAMRACY INC
713 EAST MAIN STREET
NEW ENGLAND, ND58647
 Phone: 701-579-4130
 Fax: 701-579-4899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KILLDEER PHAMRACY INC

NPI # 1588770440
LBN Legal business name KILLDEER PHAMRACY INC
Authorized official JODY DOE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2006
Last updated 02/03/2009 - About 17 years ago
Identifiers
ND License # 590
ND Medicaid 21388
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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