Healthcare Provider Details

I. General information

NPI: 1932134426
Provider Name (Legal Business Name): BRANDI LEE OLLERMAN PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1571 W VILLARD ST
DICKINSON ND
58601-4653
US

IV. Provider business mailing address

344 6TH AVE E
DICKINSON ND
58601-4518
US

V. Phone/Fax

Practice location:
  • Phone: 701-227-8265
  • Fax: 701-227-8289
Mailing address:
  • Phone: 406-599-5712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5397
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5371
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: