Angela Dahlgren
Individual provider Active NPI Pharmacist · Pierz, MN
NPI 1366052706 · NPPES record last updated Jul 31, 2020
Key facts
- NPI
- 1366052706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 124842 (MN)
- Practice address
- 112A Main St S
Pierz, MN 56364-4400 - Phone
- (320) 468-2072
- NPI assigned
- Jul 31, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124842 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Drug Stores Inc | Past |
Accepting new patients | |
| Thrifty Drug Stores Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 124842 | MN | Yes |
Addresses
Primary practice location
112A Main St S
Pierz, MN 56364-4400
Mailing address
1141 166TH St
Hadley, MN 56151-2041
Other providers in Pierz, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.