Individual
JON KURTIS OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
3011 WESTSIDE ST, GRAND ISLAND, NE 68803-2337
(308) 380-1817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12965
NE
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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