Steven Olson, PHARMD
Individual provider Active NPI Pharmacist · Annandale, MN
NPI 1104159656 · NPPES record last updated Sep 16, 2009
Key facts
- NPI
- 1104159656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 115977 (MN)
- Practice address
- 11609 Kimball Ave NW
Annandale, MN 55302-2954 - Phone
- (320) 296-5203
- Fax
- (320) 296-5203
- NPI assigned
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115977 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 115977 | MN | Yes |
Addresses
Primary practice location
11609 Kimball Ave NW
Annandale, MN 55302-2954
Mailing address
11609 Kimball Ave NW
Annandale, MN 55302-2954
Other providers in Annandale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.