Individual
BRENT OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1295 E MAIN ST, ROCK HILL, SC 29730-5947
(803) 324-7563
Mailing address
1360 CYPRESS POINT DR APT 104, ROCK HILL, SC 29730-6863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14030
SC
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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