Individual provider · Type 1 NPI

Marina Boulos

Pharmacotherapy Pharmacist · Bronx, NY

NPI number 1093666919 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (908) 307-0088 Map

Fax (908) 307-0088

Mailing address

32 Hartlander St
East Brunswick, NJ 08816-2667

Specialties and licenses

TaxonomyCodeLicense
Pharmacotherapy Pharmacist Primary 1835P1200X072781 (NY)

Pharmacotherapy Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

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About NPI 1093666919

Marina Boulos's National Provider Identifier is 1093666919, issued on Feb 6, 2026. The primary taxonomy on file is Pharmacotherapy Pharmacist (1835P1200X), and the practice location is in Bronx, NY. The record was last updated on Feb 6, 2026.