# OLSON PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508133018
- **Authorized official:** MR. PETER NG RPH (PRESIDENT)
- **Authorized official phone:** (503) 657-9422

## Contact information

- **Practice address:** 16246 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4657
- **Practice address phone:** (503) 657-9422
- **Practice address fax:** (503) 656-7785
- **Mailing address:** 16246 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4657
- **Mailing address phone:** (503) 657-9422
- **Mailing address fax:** (503) 656-7785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | IP-0002229-CS | OR | — |
| 333600000X | Pharmacy | IP-0002229-CS | OR | — |
| 3336L0003X | Long Term Care Pharmacy | IP-0002229-CS | OR | Yes |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 11/28/2011