Individual
DR. CARMEN MICHELE POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1651 WASHINGTON ST, BLAIR, NE 68008-1655
(402) 426-2187
Mailing address
1651 WASHINGTON ST, BLAIR, NE 68008-1655
(402) 426-2187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13141
NE
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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