Provider Demographics
NPI:1497234538
Name:DAHAL, SIERRA ANN-MARIE (RPH)
Entity Type:Individual
Prefix:DR
First Name:SIERRA
Middle Name:ANN-MARIE
Last Name:DAHAL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2911
Mailing Address - Country:US
Mailing Address - Phone:419-255-9524
Mailing Address - Fax:
Practice Address - Street 1:1525 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2911
Practice Address - Country:US
Practice Address - Phone:419-255-9524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217177183500000X
OH03337984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist