Individual
DR. ADAM D OLESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
313 E 12TH ST STE 103, AUSTIN, TX 78701-1955
(512) 324-9999
Mailing address
313 E 12TH ST STE 103, AUSTIN, TX 78701-1955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0017394
OR
183500000X
Pharmacist
66448
TX
1835P2201X
Ambulatory Care Pharmacist
Primary
66448
TX
Other
Enumeration date
06/04/2020
Last updated
08/19/2021
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