Dallin D Poulsen, PHARMD, MBA/HSA is a
Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Greenacres, Washington. Dallin D Poulsen is licensed to practice in Michigan (license number 5302038425) and his current practice location is
2626 S Corbin Cir, Greenacres, Washington. He can be reached at his office (for appointments etc.) via phone at
(507) 206-8087.
NPI number for Dallin D Poulsen is 1619386851 and his current mailing address is 2626 S Corbin Cir, Greenacres, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619386851.
Healthcare Provider's Profile
Full Name | Dallin D Poulsen |
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Gender | Male |
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Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
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Location | 2626 S Corbin Cir, Greenacres, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619386851
- Provider Enumeration Date: 08/12/2014
- Last Update Date: 08/12/2014
Medical Identifiers
Medical identifiers for Dallin D Poulsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619386851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 5302038425 (Michigan) | Primary |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | P6614 (Idaho) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dallin D Poulsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dallin D Poulsen, PHARMD, MBA/HSA 2626 S Corbin Cir, Greenacres, WA 99016-7719 Ph: (507) 206-8087 | Dallin D Poulsen, PHARMD, MBA/HSA 2626 S Corbin Cir, Greenacres, WA 99016-7719 Ph: (507) 206-8087 |
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