Individual
BRODY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
335 W APPLEWAY AVE, COEUR D ALENE, ID 83814-9306
(208) 765-1254
Mailing address
4821 SCHNEIDER DR, FITCHBURG, WI 53575-2231
(909) 499-7861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18082-40
WI
183500000X
Pharmacist
Primary
P7406
ID
Other
Enumeration date
11/26/2015
Last updated
11/26/2015
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