Provider Demographics
NPI:1750633020
Name:OLINGER, BRIAN D (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:D
Last Name:OLINGER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3420
Mailing Address - Country:US
Mailing Address - Phone:856-786-5327
Mailing Address - Fax:
Practice Address - Street 1:494 WILLOW DR
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3420
Practice Address - Country:US
Practice Address - Phone:856-786-5327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031292L183500000X
NJ28RI02020900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist