Provider Demographics
NPI:1932134426
Name:OLLERMAN, BRANDI LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:LEE
Last Name:OLLERMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 6TH AVE E
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-4518
Mailing Address - Country:US
Mailing Address - Phone:406-599-5712
Mailing Address - Fax:
Practice Address - Street 1:1571 W VILLARD ST
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-4653
Practice Address - Country:US
Practice Address - Phone:701-227-8265
Practice Address - Fax:701-227-8289
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5397183500000X
ND5371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist