Provider Demographics
NPI:1578818225
Name:STADHEIM-OLSON, ALAINA MARIE (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:MARIE
Last Name:STADHEIM-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 1:1681 3RD AVE W
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-3025
Mailing Address - Country:US
Mailing Address - Phone:701-225-4421
Mailing Address - Fax:701-225-7934
Practice Address - Street 1:1681 3RD AVE W
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-3025
Practice Address - Country:US
Practice Address - Phone:701-225-4421
Practice Address - Fax:701-225-7934
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist