BRODY OLSON

COEUR D ALENE, ID
NPI1437523651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P7406)
Additional Taxonomies183500000X Pharmacist
(Licence: WI  18082-40)
Enumeration Date2015-11-26
Last Update Date2015-11-26
Business Address
-- BRODY OLSON RPh
335 W APPLEWAY AVE
COEUR D ALENE, ID 83814-9306
Phone number: 208-765-1254
Mailing Address
-- BRODY OLSON RPh
4821 SCHNEIDER DR
FITCHBURG, WI 53575-2231
Phone number: 909-499-7861