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Individual

MR. JAMES PATRICK GLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
237 RAINPRINT LN, MURRYSVILLE, PA 15668-1228
(724) 826-2256
Mailing address
237 RAINPRINT LN, MURRYSVILLE, PA 15668-1228
(724) 826-2256

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP035695L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP035695L
PA PHARMACIST LICENCE
PA
01
RPI000092
PENNSYLVANIA INJECTABLES LICENSE
PA
Enumeration date
05/22/2010
Last updated
05/22/2010
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