Individual
LEA MAE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
23101 JOHN R RD, HAZEL PARK, MI 48030-1475
(248) 658-1660
(248) 658-1665
Mailing address
23101 JOHN R RD, HAZEL PARK, MI 48030-1475
(248) 658-1660
(248) 658-1665
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040179
MI
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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