Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WADE R POULSON
Active OrganizationWADE R POULSON is a Pharmacy organization located in DUCHESNE, Utah. NPI 1154640555 is currently active in the NPPES registry. Verify at CMS.
Pharmacy · DUCHESNE, UT
Registration Details
- NPI Number
- 1154640555
- Provider Type
- Organization
- NPI Issued
- May 25, 2010 (16.214895568265 yrs)
- Last Updated
- Nov 12, 2010
Practice Information
- Address
-
1322 N SCOTCH PINE DRDUCHESNE, UT, 840210464Browse UT providers · Browse ZIP 84021
- Phone
- 4357380155
- Fax
- 4357380153
- Primary Specialty
-
Pharmacy
333600000X
- Additional Specialty
- Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.