IndividualActive
Maryse Boulange, PHARM D
NPI 1376622803 · Geriatric Pharmacist · Woodland Hills, CA
Provider details
- NPI number
- 1376622803
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- No
- License
- RPH37545 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
5601 De Soto Ave
Kaiser Permanente - Pharmacy Administration
Woodland Hills, CA 91367-6701
Phone: (818) 719-2012
Approximate (ZIP-level) locationGet directions
Mailing address
5601 De Soto Ave
Woodland Hills, CA 91367-6701
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.