Individual
BRANDI KAY DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620
(423) 989-4050
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43590
TN
183500000X
Pharmacist
60751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q050636
—
TN
Enumeration date
07/31/2017
Last updated
01/17/2024
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