Olaveson, Kory Dell

Olaveson, Kory Dell is an individual health care provider with primary practice located at 895 N 6Th E , Mountain Home ID 83647-2207. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Olaveson, Kory Dell can be contacted via phone (208) 587-0546.

Contact Information

Primary practice address
895 N 6Th E Mountain Home ID 83647-2207
Phone: (208) 587-0546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P7641 Idaho

Profile Details

NPI number 1710525274
LBN Legal business name Olaveson, Kory Dell
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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