Healthcare Provider Details

I. General information

NPI: 1164656302
Provider Name (Legal Business Name): MOLLY WARD R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2009
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E US HIGHWAY 223
ADRIAN MI
49221-4216
US

IV. Provider business mailing address

217 E US HIGHWAY 223
ADRIAN MI
49221-4215
US

V. Phone/Fax

Practice location:
  • Phone: 517-266-2110
  • Fax: 517-266-2165
Mailing address:
  • Phone: 517-266-2110
  • Fax: 517-266-2165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302046337
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-2-26267
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: