Individual
LARAE ANN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8157
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3961272
ID
183500000X
Pharmacist
Primary
PHA-PHA-LIC-107994
MT
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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