Individual
MATTHEW OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2920 W DAKOTA ST, MILWAUKEE, WI 53215-3623
(262) 957-8239
Mailing address
2920 W DAKOTA ST, MILWAUKEE, WI 53215-3623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.304189
IL
183500000X
Pharmacist
Primary
20374-40
WI
183500000X
Pharmacist
26028766A
IN
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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