Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nathan Pouliot, PHARMD

Individual provider Pharmacist · NPI 1962169391

Dr. Nathan Pouliot, PHARMD is a Pharmacist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4255 US 1 S
St Augustine, FL 32086-7046
Phone: (904) 794-1104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS63303 (FL)
Pharmacist Taxonomy 183500000X · Licence 63303 (FL)

Record details

NPI number1962169391
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 19, 2021
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

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