MICHAEL POULSEN

ROCKFORD, IL
NPI1770863243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051.291210)
Enumeration Date2011-08-27
Last Update Date2011-08-27
Business Address
DR. MICHAEL POULSEN PHARMD
1201 E STATE ST
ROCKFORD, IL 61104-2212
Phone number: 815-962-2812
Mailing Address
DR. MICHAEL POULSEN PHARMD
1201 E STATE ST
ROCKFORD, IL 61104-2212
Phone number: 815-962-2812
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