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Individual

MR. GLENN S. WEISS

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
1220 3RD ST, WHITEHALL, PA 18052-4905
(610) 264-4503
Mailing address
433 E CENTER ST, NAZARETH, PA 18064-2308

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP033782L
PA

Other

Enumeration date
11/22/2005
Last updated
07/08/2007
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