Provider Demographics
NPI:1174375182
Name:WARNER, MOLLY A (RPH)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:A
Last Name:WARNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 RIDGE RUN RD
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-1969
Mailing Address - Country:US
Mailing Address - Phone:215-534-6270
Mailing Address - Fax:
Practice Address - Street 1:95 RIDGE RUN RD
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1969
Practice Address - Country:US
Practice Address - Phone:215-534-6270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037551L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist