Provider Demographics
NPI:1508978800
Name:ALTERNATIVE INFUSION SERVICES
Entity Type:Organization
Organization Name:ALTERNATIVE INFUSION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-257-2247
Mailing Address - Street 1:3601 18TH ST S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-6011
Mailing Address - Country:US
Mailing Address - Phone:320-257-2247
Mailing Address - Fax:320-257-2279
Practice Address - Street 1:3601 18TH ST S
Practice Address - Street 2:SUITE 101
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-6011
Practice Address - Country:US
Practice Address - Phone:320-257-2247
Practice Address - Fax:320-257-2279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN262633-0183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty