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NPI Code Detail

MEDICARE: DWIGHT CLIFTON PAULSON PHARMD

MEDICARE: DWIGHT CLIFTON PAULSON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist15488CO

General Provider Information

NPI Number : 1811158199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DWIGHT CLIFTON PAULSON PHARMD
Provider Business Mailing Address
First Line : 16601 E CENTRETECH PKWY
Second Line :
City : AURORA
State : CO
Zip : 80011-9045
Country : US
Telephone Number : 303-739-3564
Fax Number : 303-739-3574
Provider Business Practice Location Address
First Line : 301 N WASHINGTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-1754
Country : US
Telephone Number : 469-800-8202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 02/22/2021

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Directions to “ DWIGHT CLIFTON PAULSON PHARMD” Practice Location

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