Individual
LAURA MARIE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
200 12TH ST SW, FOREST LAKE, MN 55025-1482
(651) 464-9742
Mailing address
PO BOX 150, DETROIT LAKES, MN 56502-0150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114478
MN
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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