Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert W Mickelson

Individual provider Pharmacist · NPI 1205135498

Robert W Mickelson is a Pharmacist in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011

Practice location Address checks out

2809 Cleveland Blvd
Caldwell, ID 83605-4443
Phone: (208) 455-1094
Fax: (208) 455-1097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P5300 (ID)

Record details

NPI number1205135498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2011
Last updated in NPPESMarch 28, 2011
Mailing address16122 Horizon Dr, Caldwell, ID 83607-8298

Other providers in Caldwell