Individual
BOBBY GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2360 STONY BROOK DR, LOUISVILLE, KY 40220-4018
(502) 493-8719
Mailing address
4018 BROOKFIELD AVE, LOUISVILLE, KY 40207-2004
(870) 833-1194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017116
KY
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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