Provider Demographics
NPI:1417089111
Name:HARRINGTON, MOLLY S (CGP, FASCP)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:S
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:CGP, FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SIDNEY CT
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4252
Mailing Address - Country:US
Mailing Address - Phone:502-523-3628
Mailing Address - Fax:812-981-8229
Practice Address - Street 1:105 SIDNEY CT
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4252
Practice Address - Country:US
Practice Address - Phone:502-523-3628
Practice Address - Fax:812-981-8229
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0097181835G0303X
IN26018137A1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric