Jeffrey Dahlke

NPI #1649646878 in Rexburg, Idaho

Provider Information

NPI Number: 1649646878
Entity Type: Individual
Name: Jeffrey Dahlke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 11, 2015
Last Updated: Aug 11, 2015

Practice Location

Address: 530 N 2ND E
City: Rexburg
State: Idaho
ZIP Code: 83440-3566
Phone: (208) 359-2814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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