Individual
JEFFREY SCOTT OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10686 UNIVERSITY AVE NW, COON RAPIDS, MN 55448-6141
(763) 755-1259
Mailing address
11426 NATIONAL CT NE, BLAINE, MN 55449-7000
(612) 247-6669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114477
MN
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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