Individual
ROBERT OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1520 N COLE RD, BOISE, ID 83704-8563
(208) 375-8278
Mailing address
1520 N COLE RD, BOISE, ID 83704-8563
(208) 375-8278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5843
ID
Other
Enumeration date
08/10/2012
Last updated
08/15/2012
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