Molly Boucher, PHARMD
Individual provider Active NPI Pharmacist · Mountville, PA
NPI 1073857942 · NPPES record last updated Nov 16, 2012
Key facts
- NPI
- 1073857942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP444779 (PA)
- Practice address
- 155 N Donerville Rd
Suite 1
Mountville, PA 17554-1508 - Phone
- (717) 285-2510
- Fax
- (717) 285-3684
- NPI assigned
- Nov 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP444779 | PA | MD | Pharmacist |
| RPI002729 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP444779 | PA | Yes |
| Pharmacist | 183500000X | RPI002729 | PA |
Addresses
Primary practice location
155 N Donerville Rd
Suite 1
Mountville, PA 17554-1508
Mailing address
235 Buckfield Dr
Lititz, PA 17543-9058
Phone (717) 285-2510
Other providers in Mountville, PA
- Andrew Peter Ashton
- Molly Ann Bell
- Bender Dental Group
- Stefan F Bender
- James A Bernheisel
- Marvin Butler
- Community Services Group, Inc.
- Brandi L Ferguson
- Brandais Quay Gary
- Sherrie-an Gerhart
All providers in Mountville, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.