Individual
MR. JERRY HERMAN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7702
Mailing address
1004 E BALDWIN AVE, SPOKANE, WA 99207-2513
(509) 489-6409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7392
OR
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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