Organization
OLSON PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER NG RPH (PRESIDENT)
(503) 657-9422
Entity
Organization
Contact information
Practice address
16246 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4657
(503) 657-9422
(503) 656-7785
Mailing address
16246 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4657
(503) 657-9422
(503) 656-7785
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
IP-0002229-CS
OR
333600000X
Pharmacy
IP-0002229-CS
OR
3336L0003X
Long Term Care Pharmacy
Primary
IP-0002229-CS
OR
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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