Individual
JOHN D GLENN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH,CDE
Contact information
Practice address
34 NW PARK AVE, BAXLEY, GA 31513-0049
(912) 367-2488
(912) 367-7235
Mailing address
34 NW PARK AVE, BAXLEY, GA 31513-0049
(912) 367-2488
(912) 367-7235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12138
GA
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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