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Organization

DAHL PHARMACIES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH D STEFFES (PRESIDENT & GENERAL MANAGER)
(612) 334-3159
Entity
Organization

Contact information

Practice address
154 COBBLESTONE LANE, BURNSVILLE, MN 55337-4578
(612) 334-3159
(612) 334-9646
Mailing address
154 COBBLESTONE LANE, BURNSVILLE, MN 55337-4578
(612) 334-3159
(612) 334-9646

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043910
PREFERRED ONE
MN
01
164390
UCARE
MN
01
18392
HEALTH PARNTERS
MN
05
212760100
MN
01
45729DA
BLUE CROSS BLUE SHIELD
MN
01
8200709
MEDICA
MN
01
=========
FEDERAL TAX ID
MN
01
A060423
METROPOLITAN HEALTH PLAN
MN
Enumeration date
09/20/2006
Last updated
11/10/2022
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