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Organization

TUCKER & DAHL LLC

Active
Other names
Dahl's Pharmacy of Carson
Organization subpart
No

Provider details

NPI number
Authorized official
NATHAN DAHL (MANAGER)
(775) 423-5491
Entity
Organization

Contact information

Practice address
1007 N CURRY ST, CARSON CITY, NV 89703-3975
(775) 885-8881
(775) 885-2690
Mailing address
PO BOX 5160, FALLON, NV 89407-5160
(775) 885-8881
(775) 885-2690

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
PH00611
NV
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2157662
PK
Enumeration date
11/08/2006
Last updated
08/06/2019
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