DR. Brian Dahlke

NPI #1104109685 in Fort Collins, Colorado

Provider Information

NPI Number: 1104109685
Entity Type: Individual
Name: DR. Brian Dahlke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 21, 2011
Last Updated: Sep 21, 2011

Practice Location

Address: 2614 S COLLEGE AVE
City: Fort Collins
State: Colorado
ZIP Code: 80525-2138
Phone: (970) 530-2105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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