Organization
OLSON PHARMACY SERVICES
Active
Parent organization
OLSON DRUG,INC
Other names
OLSON DRUG, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLSON DRUG,INC
Authorized official
DAVID M NGUYEN (CEO)
(503) 607-1170
Entity
Organization
Contact information
Practice address
617 MONROE ST, OREGON CITY, OR 97045-2336
(503) 607-1170
(503) 607-1169
Mailing address
PO BOX 68309, PORTLAND, OR 97268-0309
(503) 607-1170
(503) 607-1169
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
IP-0002245-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477740827
—
OR
Enumeration date
08/03/2013
Last updated
08/03/2013
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