Individual
DEMI OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110-3653
(952) 883-6919
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126739
MN
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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