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Individual

DR. MICHAEL OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
3415 BROOKSIDE RD, STOCKTON, CA 95219-1785
(209) 951-5960
(209) 951-5967
Mailing address
3415 BROOKSIDE RD, STOCKTON, CA 95219-1785
(209) 951-5960
(209) 951-5967

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
65641
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65641
REGISTERED PHARMACIST
CA
Enumeration date
08/29/2011
Last updated
08/29/2011
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