Provider Demographics
NPI:1528262482
Name:MCRITCHIE, JILL MARIE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:MARIE
Last Name:MCRITCHIE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 817
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:ND
Mailing Address - Zip Code:58054-0817
Mailing Address - Country:US
Mailing Address - Phone:701-683-6516
Mailing Address - Fax:701-683-6545
Practice Address - Street 1:1400 ROSE ST
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:ND
Practice Address - Zip Code:58054-4846
Practice Address - Country:US
Practice Address - Phone:701-683-6516
Practice Address - Fax:701-683-6545
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist