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NPI Code Detail

MEDICARE: SARAH OLSON PHARM.D

MEDICARE: SARAH OLSON 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
1183500000XPharmacist5302038777MI

General Provider Information

NPI Number : 1396098489
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH OLSON PHARM.D
Provider Business Mailing Address
First Line : 1615 N SAGINAW RD
Second Line :
City : MIDLAND
State : MI
Zip : 48640-7237
Country : US
Telephone Number : 989-832-2491
Fax Number :
Provider Business Practice Location Address
First Line : 1615 N SAGINAW RD
Second Line :
City : MIDLAND
State : MI
Zip : 48640-7237
Country : US
Telephone Number : 989-832-2491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2012
Last Update Date : 10/26/2012

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Directions to “ SARAH OLSON PHARM.D” Practice Location

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