Molly Gladding, CPHT

Individual provider Active NPI Pharmacy Technician · Coopersville, MI

NPI 1376267252 · NPPES record last updated Oct 3, 2022

Key facts

NPI
1376267252
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
5303004524 (MA)
Practice address
1151 W Randall St Ste a
Coopersville, MI 49404-1355
Phone
(616) 837-6219
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5303004524MAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Michigan Inc Past
since Oct 9, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303004524 MA Yes

Addresses

Primary practice location

1151 W Randall St Ste a
Coopersville, MI 49404-1355

Mailing address

25 S Circle Dr
Coldwater, MI 49036-1125
Phone (616) 232-0531

Other providers in Coopersville, MI

All providers in Coopersville, MI · Pharmacy Technician in Michigan

Sources for this page

Verify at the official NPI Registry.