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Individual
DR. PHILLIP C GLAZE
Active
Individual
DR. PHILLIP C GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10271
AL
183500000X
Pharmacist
8719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10271
PHARMACIST LICENSE
AL
01
—
8719
PHARMACIST LICENSE
TN
Enumeration date
08/25/2011
Last updated
08/25/2011
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