Nicole Dyrdahl, PHARMD is a
Pharmacist based in Mahnomen, Minnesota. Nicole Dyrdahl is licensed to practice in Minnesota (license number 122362) and her current practice location is
211 South Main St, Mahnomen, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 935-2525.
NPI number for Nicole Dyrdahl is 1780120857 and her current mailing address is 211 South Main St, Po Box 457, Mahnomen, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780120857.
Healthcare Provider's Profile
| Full Name | Nicole Dyrdahl |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 211 South Main St, Mahnomen, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780120857
- Provider Enumeration Date: 01/13/2017
- Last Update Date: 01/13/2017
Medical Identifiers
Medical identifiers for Nicole Dyrdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780120857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 122362 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Dyrdahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole Dyrdahl, PHARMD
211 South Main St, Po Box 457,
Mahnomen, MN 56557
Ph: (218) 935-2525 | Nicole Dyrdahl, PHARMD
211 South Main St,
Mahnomen, MN 56557
Ph: (218) 935-2525 |
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