Doctor Name: | JOSHUA L DAHLENBURG |
NPI Number: | 1497110605 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARM D |
License Number: | RPH-00100440 |
Business Practice Address: | 157 Nw Douglas Blvd Winston, OR - 974969670 |
Business Phone Number: | 5412367060 |
Business Fax Number: | 5412367061 |
Mailing Address: | 157 Nw Douglas Blvd, WINSTON |
State: | OR |
Postal Code: | 974969670 |
Phone Number: | 5412367060 |
Fax Number: | 5412367061 |
NPI Enumeration Date: | 12/15/2015 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | RPH-00100440 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |