Harold A Olson, RPH
Individual provider Active NPI Pharmacist · Montpelier, ID
NPI 1104840412 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104840412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- P4036 (ID)
- Practice address
- 765 Washington St.
Montpelier, ID 83254 - Phone
- (208) 847-0536
- Fax
- (208) 847-1578
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4036 | ID | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P4036 | ID | Yes |
Addresses
Primary practice location
765 Washington St.
Montpelier, ID 83254
Mailing address
765 Washington St.
Montpelier, ID 83254
Phone (208) 847-0536
Other providers in Montpelier, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.