NPI 1154721603 · live from the CMS NPI Registry
Molly Eileen Broussard
Pharmacist in Soldotna, AK. National Provider Identifier 1154721603, active.
NPI record
| NPI | 1154721603 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 299 N Binkley St, Soldotna, AK 99669 |
| Practice phone | 907-262-3800 |
| Mailing address | 108 Linwood Ln, Kenai, AK 99611 |
| Enumerated | September 2, 2014 |
| Last updated | October 29, 2025 |
| Sole proprietor | Yes |
| Other names | Molly Hannigan |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 113742 (AK) |
| Pharmacist | 183500000X | 71279 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.