Provider Demographics
NPI:1942686910
Name:DAHLEN, RACHEL M (PHARMD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:DAHLEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 W 134TH PL
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-1146
Mailing Address - Country:US
Mailing Address - Phone:701-212-9870
Mailing Address - Fax:
Practice Address - Street 1:1160 W 134TH PL
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-1146
Practice Address - Country:US
Practice Address - Phone:701-212-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-31
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0020647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist