OrganizationActive
Wade R Poulson
NPI 1154640555 · Pharmacy · Duchesne, UT
Provider details
- NPI number
- 1154640555
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wade Poulson, Owner(801) 389-0267
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1322 N Scotch Pine Dr
Duchesne, UT 84021-0464
Phone: (435) 738-0155
Fax: (435) 738-0153
Street-level locationGet directions
Mailing address
Po Box 464
Duchesne, UT 84021-0464
Other names (DBA / former)
- Doing business as
- Scotch Pine Pharmacy
Registry dates
- Enumerated
- 2010-05-25
- Last updated
- 2010-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.