Individual
ROSE M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3395 S FEDERAL WAY, BOISE, ID 83705-5217
(208) 319-1043
(208) 319-1049
Mailing address
803 W MELROSE LN, BOISE, ID 83706-4669
(208) 869-8822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5470
ID
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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