Warren, Molly Anne

Warren, Molly Anne is an individual health care provider with primary practice located at 929 Nw Garden Valley Blvd , Roseburg OR 97471-1900. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Warren, Molly Anne can be contacted via phone (541) 957-3058.

Contact Information

Primary practice address
929 Nw Garden Valley Blvd Roseburg OR 97471-1900
Phone: (541) 957-3058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0016787 Oregon
Pharmacy Service Providers / Pharmacist 183500000X RPH-0016787 Oregon

Profile Details

NPI number 1164946125
LBN Legal business name Warren, Molly Anne
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2017
Last updated Nov 21st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164946125 NPPES
Oregon MEDICAID 1164946125

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