WADE R POULSON is a pharmacy in Duchesne, UT. The provider 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. WADE R POULSON NPI is 1154640555. The provider is registered as an organization entity type.
The provider Is Doing Business As Scotch Pine Pharmacy.
The provider's business location address is:
1322 N SCOTCH PINE DR
DUCHESNE, UT
ZIP 84021-464
Phone: (435) 738-0155
Fax: (435) 738-0153
The provider's authorized official is Wade Poulson .
The authorized official title is Owner and has the following contact phone number (801) 389-0267.
The enumeration date for this NPI number is 5/25/2010 and was last updated on 11/12/2010.