Kody Jay Lura, PHARM D

Individual provider Active NPI Pharmacist · New Rockford, ND

NPI 1386989796 · NPPES record last updated Dec 11, 2012

Key facts

NPI
1386989796
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5351 (ND)
Practice address
4 8TH St N
New Rockford, ND 58356-1518
Phone
(701) 947-5313
Fax
(701) 947-5377
NPI assigned
Dec 11, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5351NDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5351 ND Yes

Addresses

Primary practice location

4 8TH St N
New Rockford, ND 58356-1518

Mailing address

4 8TH St N
New Rockford, ND 58356-1518
Phone (701) 947-5313

Other providers in New Rockford, ND

All providers in New Rockford, ND · Pharmacist in North Dakota

Sources for this page

Verify at the official NPI Registry.