Healthcare Provider Details

I. General information

NPI: 1427972009
Provider Name (Legal Business Name): DAWSON EILTS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 S CASCADE ST
FERGUS FALLS MN
56537-2913
US

IV. Provider business mailing address

4365 15TH AVE S APT 307
FARGO ND
58103-3588
US

V. Phone/Fax

Practice location:
  • Phone: 800-439-6424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number127402
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH6764
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: