MISS Nissa Rae Dahl, PHARMD
NPI #1609122043 in Burlington, Wisconsin
Provider Information
- NPI Number
- 1609122043
- Entity Type
- Individual
- Name
- MISS Nissa Rae Dahl, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Aug 2, 2012
- Last Updated
- Mar 10, 2023
Practice Location
- Address
- 680 MILWAUKEE AVE
- City
- Burlington
- State
- Wisconsin
- ZIP Code
- 53105-1346
- Phone
- (262) 767-0697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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