Individual
DR. DARYL A FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Contact information
Practice address
1561 W MASON ST, GREEN BAY, WI 54303-2215
(920) 497-5959
Mailing address
1561 W MASON ST, GREEN BAY, WI 54303-2215
(920) 497-5959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
122730
MN
183500000X
Pharmacist
Primary
18217-40
WI
Other
Enumeration date
02/03/2017
Last updated
10/31/2018
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