Individual
MR. KENNETH SAMUEL GLOVER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
27 MIDWAY PLAZA, DORA, AL 35062
(205) 648-9918
(205) 648-9644
Mailing address
2371 HIGHWAY 78, DORA, AL 35062-5233
(205) 648-9918
(205) 648-9644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
105923
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002526
—
AL
Enumeration date
07/27/2006
Last updated
03/29/2012
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