Individual
AMANDA LEIGH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 12TH AVE S, NAMPA, ID 83651-4255
(208) 467-1560
Mailing address
1032 E MYSTERY DR, KUNA, ID 83634-5248
(208) 852-6969
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT17177
ID
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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