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Contact Information

MOLLY E BROUSSARD
299 N BINKLEY ST
SOLDOTNA, AK99669-7523
 Phone: 907-262-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MOLLY E BROUSSARD · (Female)

NPI Number 1154721603
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2014
Last updated 10/29/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 113742
  • CA License # 71279
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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