Individual
DR. MARY GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1071 S. LAKE DR., LEXINGTON, SC 29073
(803) 957-0605
(803) 957-3579
Mailing address
1071 S. LAKE DR., LEXINGTON, SC 29073
(803) 957-0605
(803) 957-3579
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12175
SC
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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