340B Drug Pricing Program Database

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KILLDEER PHARMACY
CH081150Q Coal Country Community Health Center

Covered Entity Details

Coal Country Community Health Center - Hazen Elementary School Clinic
HRSA-Funded Health Center
CH081150Q
519 1st Ave NE
Hazen, ND 58545
H80CS09469
1/1/2024
2/9/2024
4/1/2025


Pharmacy Details

JODY DOE/OWNER
220 4TH AVE SW STE B
PO BOX 745
KILLDEER, ND 58640

Contract Details

10/16/2023
1/1/2024

4/1/2025
Covered Entity Terminated


Contacts


Darrold Bertsch, Interim CEO
(701) 873-7484



KILLDEER PHARMACY
Jody Doe, President
(701) 764-5093
10/13/2023