Organization
FRONTIER PHARMACIES LLC
Active
Other names
Dahl's Pharmacy of Fallon
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DAHL (MANAGER)
(775) 423-5491
Entity
Organization
Contact information
Practice address
1870 W WILLIAMS AVE, FALLON, NV 89406-2648
(775) 423-3194
(775) 423-8770
Mailing address
PO BOX 5160, FALLON, NV 89407-5160
(775) 423-5491
(775) 423-8770
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00557
NV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157666
PK
—
Enumeration date
08/31/2006
Last updated
10/21/2019
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