NPI 1053693572

Shakema Danay Poulson, PHARMD

Practitioner Pharmacist Suffolk, VA

Practice location

Address: 3633 Bridge Rd, Suffolk, VA 23435-1807
Phone: (757) 686-4793
Fax: (757) 638-7808

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0202207153 (VA)

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Registry record

NPI: 1053693572
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2011
Record last updated: 10 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.