Individual
JEREMY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
425 S MAIN ST, MOAB, UT 84532-2921
(435) 259-8971
Mailing address
425 S MAIN ST, MOAB, UT 84532-2921
(435) 259-8971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6100016
UT
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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