Provider Demographics
NPI:1295167500
Name:OLSON, HEATHER JOY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:JOY
Last Name:OLSON
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 1:15208 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-2893
Mailing Address - Country:US
Mailing Address - Phone:507-317-9530
Mailing Address - Fax:
Practice Address - Street 1:14101 FAIRVIEW DR STE 100
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2507
Practice Address - Country:US
Practice Address - Phone:952-405-5630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist