Molly Patricia Allen, PHARMD
Individual provider Active NPI Pharmacist · Beaverton, MI
NPI 1861668436 · NPPES record last updated May 5, 2008
Key facts
- NPI
- 1861668436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302033629 (MI)
- Practice address
- 352 N Ross St
Beaverton, MI 48612-8165 - Phone
- (989) 435-7727
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 5302033629 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302033629 | MI | Yes |
Addresses
Primary practice location
352 N Ross St
Beaverton, MI 48612-8165
Mailing address
352 N Ross St
PO Box 458
Beaverton, MI 48612-8165
Phone (989) 435-7727
Other names
- Dr. Molly Patricia Kraus
Other providers in Beaverton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2008. 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.