Individual
BRODERICK WILLIAM OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 685-5806
Mailing address
845 YARD ST APT 238, COLUMBUS, OH 43212-3900
(402) 319-8475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH.03237321
OH
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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