Healthcare Provider Details

I. General information

NPI: 1427666007
Provider Name (Legal Business Name): MOLLY DOBBINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 COLLIERS WAY STE 204
WEIRTON WV
26062-5055
US

IV. Provider business mailing address

1524 WALKER RD
FOLLANSBEE WV
26037-1258
US

V. Phone/Fax

Practice location:
  • Phone: 304-723-6331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0009340
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: