WADE OLIVER MOULTON PHARM D
NPI 1205479748
Pharmacist in Vernal, UT

Active since October 28, 2019
1080 W HWY 40, VERNAL, UT 84078(435) 789-7235 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wade Oliver Moulton Pharm D NPPES

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

WADE OLIVER MOULTON PHARM D (NPI 1205479748) is an individual pharmacist in Vernal, Utah, licensed in Utah (4907684-1701) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1205479748
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameWADE OLIVER MOULTONCredential: PHARM D
Location Address1080 W HWY 40Vernal, UT 84078
Mailing Address432 W 1070 SVernal, UT 84078-4770 · (435) 789-0250
Sole ProprietorNo
Enumeration DateOctober 28, 2019
NPI 1205479748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 4907684-1701
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

1080 W HWY 40, Vernal, UT 84078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205479748, enumerated as an "individual" on October 28, 2019.

The provider is located at 1080 W HWY 40 VERNAL, UT 84078 and the phone number is (435) 789-7235.

Pharmacist with taxonomy code 183500000X.