Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marina Boulos

Individual provider Pharmacotherapy Pharmacist · NPI 1093666919

Marina Boulos is a Pharmacotherapy Pharmacist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (908) 307-0088
Fax: (908) 307-0088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence 072781 (NY)

Record details

NPI number1093666919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address32 Hartlander St, East Brunswick, NJ 08816-2667

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