Provider Demographics
NPI:1124216361
Name:OLAH, STEPHEN FRANK (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:FRANK
Last Name:OLAH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22525 WICK RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-3531
Mailing Address - Country:US
Mailing Address - Phone:313-292-3755
Mailing Address - Fax:
Practice Address - Street 1:22525 WICK RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3531
Practice Address - Country:US
Practice Address - Phone:313-292-3755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302410177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist