Individual
GREGORY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8023
ID
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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