Individual
MR. GLENN MELBOURNE GOLDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2730 EASTERN BLVD, MONTGOMERY, AL 36117-1550
(334) 272-2343
(334) 272-2711
Mailing address
1037 HALLWOOD LN, MONTGOMERY, AL 36117-8894
(334) 213-0062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10356
AL
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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