Organization
CARSON PHARMACY LLC
Active
Other names
Dahl's Specialty 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
Mailing address
PO BOX 5160, FALLON, NV 89407-5160
(775) 423-5491
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH03605
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163779
PK
—
Enumeration date
08/23/2016
Last updated
10/21/2019
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