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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wade R Poulson

Pharmacy in Duchesne, UT · enumerated 2010 · authorized official Wade Poulson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154640555

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Registry record

Entity type Organization (Type 2)
Legal business name Wade R Poulson
Other name <Unavail>
Practice address 1322 N Scotch Pine Dr, Duchesne, UT, 84021
Phone (435) 738-0155
Fax (435) 738-0153
Enumeration date May 25, 2010
Last updated in NPPES Nov 12, 2010

Taxonomy & classification

333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Wade Poulson
Title Owner
Phone (801) 389-0267

Other identifiers

Identifier Type State Issuer
4611833 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Wade R Poulson?
NPPES lists Wade Poulson (Owner) as the authorized official for this organization.
What is the NPI number for Wade R Poulson?
The NPI for Wade R Poulson is 1154640555, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-12.