Provider Demographics
NPI:1043377617
Name:PAULSEN, DARCY LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:LYNN
Last Name:PAULSEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11400 275TH ST
Mailing Address - Street 2:
Mailing Address - City:CHISAGO CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55013-5411
Mailing Address - Country:US
Mailing Address - Phone:651-213-0023
Mailing Address - Fax:651-982-7236
Practice Address - Street 1:11400 275TH ST
Practice Address - Street 2:
Practice Address - City:CHISAGO CITY
Practice Address - State:MN
Practice Address - Zip Code:55013-5411
Practice Address - Country:US
Practice Address - Phone:651-213-0023
Practice Address - Fax:651-982-7236
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115758-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist