Wade R Poulson
Pharmacy
1322 N Scotch Pine Dr, Duchesne
Utah, 84021-0464
435-738-0155 435-738-0153
Wade R Poulson is not a DME supplier for medicare equipments and products.
Wade R Poulson is a Pharmacy in Duchesne, Utah. It is located at 1322 N Scotch Pine Dr, Duchesne and it's customer support contact number is 435-738-0155. The authorized person of Wade R Poulson is Wade Poulson who is Owner of the pharmacy and his contact number is 801-389-0267.
Wade R Poulson is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Wade R Poulson type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Wade R Poulson |
| Type: | Pharmacy |
| Location: | 1322 N Scotch Pine Dr, Duchesne, Utah, 84021-0464 |
| Phone: | 435-738-0155 |
| Fax: | 435-738-0153 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Wade Poulson |
| Position: | Owner |
| Contact Number: | 801-389-0267 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1154640555 |
| NPI Enumeration Date: | 25 May, 2010 |
| NPI Last Update On: | 12 Nov, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wade R Poulson are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4611833 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 464, Duchesne, Utah |
| Zip: | 84021-0464 |
| Phone Number: | 801-389-0267 |
| Fax Number: | 435-738-0153 |
Patients can reach Wade R Poulson at
1322 N Scotch Pine Dr, Duchesne, Utah or can
call on customer care at 435-738-0155.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.