Individual
SETH WILLIAM POULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2705 E PARLEYS WAY, SALT LAKE CITY, UT 84109-1619
(385) 313-3949
Mailing address
103 WILLOW ST, GRANTSVILLE, UT 84029-9479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7792466-1701
UT
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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