Individual
MARK OLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 E 7TH ST, ATLANTIC, IA 50022-1916
(712) 243-9223
(712) 243-9225
Mailing address
1100 BROAD ST, ADAIR, IA 50002-1015
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
18473
IA
Other
Enumeration date
12/02/2018
Last updated
10/24/2022
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