Individual
MR. GLENN JAY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
16 STONYBROOK RD, NORWALK, CT 06851-2311
(203) 846-4601
Mailing address
16 STONYBROOK RD, NORWALK, CT 06851-2311
(203) 846-4601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6298
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6298
CT PHARMACY LICENSE NUMBER
CT
Enumeration date
03/10/2010
Last updated
03/10/2010
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