Individual
DR. KATHY A GLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-7437
Mailing address
18865 SPANISH OAK CT, FLINT, TX 75762-3430
(206) 854-1843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60330656
WA
1835C0205X
Critical Care Pharmacist
Primary
53400
TX
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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