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NPI Code Detail

MEDICARE: MRS. NATALIE LOUISE OLSEN PHARM D.

MEDICARE: MRS. NATALIE LOUISE OLSEN PHARM D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistP5834ID

General Provider Information

NPI Number : 1215911649
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATALIE LOUISE OLSEN PHARM D.
Provider Business Mailing Address
First Line : 24020 HEWETT RD
Second Line :
City : JULIAETTA
State : ID
Zip : 83535-6137
Country : US
Telephone Number : 208-244-1142
Fax Number :
Provider Business Practice Location Address
First Line : 415 6TH ST
Second Line :
City : LEWISTON
State : ID
Zip : 83501-2431
Country : US
Telephone Number : 208-750-7440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 07/31/2013

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Directions to “ MRS. NATALIE LOUISE OLSEN PHARM D.” Practice Location

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