Most Relevant Information
Provider Data
| NPI Number: | 1003571845 |
| Provider Name: | DALLIN BRENT FARNES PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | P9381 |
Most Important Dates
| Enumeration Date: | 11/06/2021 |
| Last Updated: | 11/06/2021 |
Provider Practice Location
414 MAIN ST
GOODING
ID
833301315
Practice Location Phone/Fax
| Phone: | 2089344000 |
| Fax: |
Provider Mailing Location
414 MAIN ST
GOODING
ID
833301315
Provider Mailing Phone/Fax
| Phone: | 2089344000 |
| Fax: | 2089348899 |