Healthcare Provider Details

I. General information

NPI: 1699236018
Provider Name (Legal Business Name): DAHL MEMORIAL HEALTHCARE ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 E PARK ST
EKALAKA MT
59324-0046
US

IV. Provider business mailing address

PO BOX 46
EKALAKA MT
59324-0046
US

V. Phone/Fax

Practice location:
  • Phone: 406-775-8896
  • Fax: 833-678-0285
Mailing address:
  • Phone: 406-775-8896
  • Fax: 833-678-0285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSH FISHER
Title or Position: PHARMACIST IN CHARGE (PIC)
Credential:
Phone: 406-780-8016