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NPI Code Detail

MEDICARE: ADAM OLSON PHARMD

MEDICARE: ADAM OLSON PHARMD
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
1183500000XPharmacist67214TX

General Provider Information

NPI Number : 1942892088
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM OLSON PHARMD
Provider Business Mailing Address
First Line : 4516 OLD JACKSBORO HWY
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76302-2920
Country : US
Telephone Number : 194-076-7336
Fax Number :
Provider Business Practice Location Address
First Line : 4516 OLD JACKSBORO HWY
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76302-2920
Country : US
Telephone Number : 940-767-3368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2021
Last Update Date : 02/10/2021

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Directions to “ ADAM OLSON PHARMD” Practice Location

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