Provider Demographics
NPI:1770709958
Name:OLSON, SHARON A (RPH)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:A
Last Name:OLSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-1908
Mailing Address - Country:US
Mailing Address - Phone:406-952-4177
Mailing Address - Fax:
Practice Address - Street 1:601 S HWY 160
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048
Practice Address - Country:US
Practice Address - Phone:775-727-2404
Practice Address - Fax:775-727-2410
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist