Bloom, Molly M

Bloom, Molly M is an sole proprietor health care provider with primary practice located at 3333 W 11Th Ave , Eugene OR 97402-3038. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Bloom, Molly M can be contacted via phone (541) 484-3013.

Contact Information

Primary practice address
3333 W 11Th Ave Eugene OR 97402-3038
Fax: (541) 484-3023
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0011319 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0011319 Oregon

Profile Details

NPI number 1578894150
LBN Legal business name Bloom, Molly M
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2010
Last updated Apr 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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