IndividualActive
Seth Poulson
NPI 1568063303 · Pharmacist · Salt Lake City, UT
Provider details
- NPI number
- 1568063303
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7792466-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2705 E Parleys Way
Salt Lake City, UT 84109-1619
Phone: (385) 313-3949
Approximate (ZIP-level) locationGet directions
Mailing address
103 Willow St
Grantsville, UT 84029-9479
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.