Individual
DR. JAKE PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 SOLDIER CREEK DR, ROSEBUD, SD 57570-8502
(605) 747-2231
Mailing address
400 SOLDIER CREEK DR, ROSEBUD, SD 57570-8502
(651) 315-5905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45404
TN
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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