Organization
FERNLEY PHARMACY LLC
Active
Other names
Dahl's Pharmacy of Fernley
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DAHL (MANAGER)
(775) 423-5491
Entity
Organization
Contact information
Practice address
805 E MAIN ST, FERNLEY, NV 89408-9743
(775) 575-4435
(775) 575-2670
Mailing address
PO BOX 5160, FALLON, NV 89407-5160
(775) 423-5491
(775) 575-2670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHN03516
NV
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157706
PK
—
Enumeration date
08/10/2006
Last updated
10/21/2019
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