Individual provider · Type 1 NPI

Molly Grace Brautigam

Pharmacist · Port Matilda, PA

NPI number 1184563165 Active

Practice location

132 Abigail Ln
Port Matilda, PA 16870-7153

Call (800) 230-4565 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP460628 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1184563165

Molly Grace Brautigam's National Provider Identifier is 1184563165, issued on Mar 26, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port Matilda, PA. The record was last updated on Aug 21, 2026.