SCOTCH PINE PHARMACY
NPI 1154640555
Pharmacy in Duchesne, UT

Q: What is Wade R Poulson's NPI number?

The NPI number for Wade R Poulson is 1154640555. It was assigned to this organization in the NPPES registry on May 25, 2010. The provider is doing business as Scotch Pine Pharmacy.

Q: What is Wade R Poulson's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Wade R Poulson was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2010

1322 N SCOTCH PINE DR, DUCHESNE, UT 84021(435) 738-0155(435) 738-0153 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Scotch Pine Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTCH PINE PHARMACY (NPI 1154640555) is a healthcare organization registered as a pharmacy in Duchesne, Utah and active in the NPI registry since May 2010. The organization lists Wade Poulson, Owner, as its authorized official.

NPPES Registry Identity

NPI1154640555

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWADE R POULSON

Location Address1322 N SCOTCH PINE DRDuchesne, UT 84021-0464

Mailing AddressPo Box 464Duchesne, UT 84021-0464 · (801) 389-0267 · Fax (435) 738-0153

Phone(435) 738-0155

Fax(435) 738-0153

Organization SubpartNo

Authorized OfficialWade PoulsonOwner · (801) 389-0267

Enumeration DateMay 25, 2010

Last NPPES UpdateNovember 12, 2010

✔ NPI 1154640555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

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.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

1322 N SCOTCH PINE DR, Duchesne, UT 84021

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Other Names 1

Doing Business AsScotch Pine Pharmacy

Other Identifiers 1

Other4611833Ncpdp Provider Identification Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade R Poulson's NPI number?

The NPI number for Wade R Poulson is 1154640555. It was assigned to this organization in the NPPES registry on May 25, 2010. The provider is doing business as Scotch Pine Pharmacy.

Where is Wade R Poulson located?

Wade R Poulson is located at 1322 N Scotch Pine Dr, Duchesne, UT 84021. The listed phone number is (435) 738-0155.

What is Wade R Poulson's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Wade R Poulson was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.