Individual
NICOLE DYRDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
211 SOUTH MAIN ST, MAHNOMEN, MN 56557
(218) 935-2525
(218) 935-2526
Mailing address
211 SOUTH MAIN ST, PO BOX 457, MAHNOMEN, MN 56557
(218) 935-2525
(218) 935-2526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122362
MN
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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