Individual
DR. STACEY OLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
203 PHARMACY BLDG BLDG 1601SW, CORVALLIS, OR 97331-8537
(541) 737-3424
Mailing address
1975 SE CRYSTAL LAKE DR UNIT 112, CORVALLIS, OR 97333-0005
(541) 231-0241
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0011402
OR
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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