Individual
MOLLY EILEEN BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 N BINKLEY ST, SOLDOTNA, AK 99669-7523
(907) 262-3800
Mailing address
108 LINWOOD LN, KENAI, AK 99611-8111
(907) 714-1621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113742
AK
183500000X
Pharmacist
71279
CA
Other
Enumeration date
09/02/2014
Last updated
10/29/2025
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