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Individual

MS. JENNY LYN OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1057 US HIGHWAY 31 S, MANISTEE, MI 49660-2270
(231) 398-3202
(231) 398-3246
Mailing address
1057 US HIGHWAY 31 S, MANISTEE, MI 49660-2270
(231) 398-3202
(231) 398-3246

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025658
MI
183500000X
Pharmacist
PS21244
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302025658
PHARMACIST LICENSE
MI
01
PS21244
PHARMACIST LICENSE
FL
Enumeration date
07/27/2011
Last updated
07/27/2011
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