Provider Demographics
NPI:1346547346
Name:MOLIERE, JOELLE M (RPH, MPH, FAARM)
Entity type:Individual
Prefix:
First Name:JOELLE
Middle Name:M
Last Name:MOLIERE
Suffix:
Gender:F
Credentials:RPH, MPH, FAARM
Other - Prefix:
Other - First Name:JOELLE
Other - Middle Name:MS
Other - Last Name:DESIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4501 NW 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3403
Mailing Address - Country:US
Mailing Address - Phone:754-223-7701
Mailing Address - Fax:
Practice Address - Street 1:4501 NW 31ST AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-3403
Practice Address - Country:US
Practice Address - Phone:754-223-7701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS377431835G0303X, 1835N1003X, 1835P1300X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric