Provider Demographics
NPI:1588775944
Name:OLSON, SHERI LEE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:LEE
Last Name:OLSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 POPLAR GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:BLAIRSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50034-7545
Mailing Address - Country:US
Mailing Address - Phone:515-297-1174
Mailing Address - Fax:
Practice Address - Street 1:823 2ND ST
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595
Practice Address - Country:US
Practice Address - Phone:515-832-4025
Practice Address - Fax:515-832-4083
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist