Individual
MR. CARL M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7039 DEXTER ANN ARBOR RD, DEXTER, MI 48130-8568
(734) 426-1600
Mailing address
20770 WATERLOO RD, CHELSEA, MI 48118-9119
(734) 475-2712
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302030040
REGISTERED PHARMACIST
MI
Enumeration date
08/01/2006
Last updated
07/08/2007
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