Individual
KEVIN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
15800 87TH ST NE, T2456, OTSEGO, MN 55330-6546
(763) 252-1316
(763) 252-1326
Mailing address
15800 87TH ST NE, T2456, OTSEGO, MN 55330-6546
(763) 252-1316
(763) 252-1326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119797
MN
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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