Individual
BRYAN GLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
600 MYRTLE AVE, BOONTON, NJ 07005-1940
(973) 939-9021
Mailing address
600 MYRTLE AVE, BOONTON, NJ 07005-1940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04360400
NJ
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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