MEDICARE: DR. ROBERT STEPHEN OLSEN PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH29784	CA
2	183500000X	Pharmacist	13242	CO

General Provider Information

NPI Number	:	1992700157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT STEPHEN OLSEN PHARM. D.

Provider Business Mailing Address
First Line	:	780 SELKIRK RD
Second Line	:
City	:	SANDPOINT
State	:	ID
Zip	:	83864-7716
Country	:	US
Telephone Number	:	208-263-7749
Fax Number	:	208-263-4673

Provider Business Practice Location Address
First Line	:	780 SELKIRK RD
Second Line	:
City	:	SANDPOINT
State	:	ID
Zip	:	83864-7716
Country	:	US
Telephone Number	:	208-263-7749
Fax Number	:	208-263-4673

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	09/11/2025

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