Fernley Pharmacy LLC
Organization Active NPI Pharmacy · Fernley, NV
NPI 1871504381 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1871504381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- PHN03516 (NV)
- Legal business name
- FERNLEY PHARMACY LLC
- Practice address
- 805 E Main St
Fernley, NV 89408-9743 - Phone
- (775) 575-4435
- Fax
- (775) 575-2670
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Nathan Dahl
- Title
- Manager
- Phone
- (775) 423-5491
Practitioners 1
National Provider Directory
Locations
805 E Main St
Fernley, NV 89408
Phone (775) 575-4435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PHN03516 | NV | Yes |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
805 E Main St
Fernley, NV 89408-9743
Mailing address
PO Box 5160
Fallon, NV 89407-5160
Phone (775) 423-5491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157706 | Other | PK |
Other names
- Dahl's Pharmacy of Fernley
Other providers in Fernley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2019. 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.