Provider Demographics
NPI:1790992741
Name:LASH, OLYA KATHERINE (RPH)
Entity Type:Individual
Prefix:
First Name:OLYA
Middle Name:KATHERINE
Last Name:LASH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 HAWKS RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1316
Mailing Address - Country:US
Mailing Address - Phone:734-677-0510
Mailing Address - Fax:
Practice Address - Street 1:3075 W CLARK RD
Practice Address - Street 2:STE 105
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1103
Practice Address - Country:US
Practice Address - Phone:734-434-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist