Individual
ALEXANDER GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2515 CRAWFORD RD, PHENIX CITY, AL 36867-3629
(334) 297-3722
Mailing address
118 LAKE REBEL DR, FORTSON, GA 31808-4028
(706) 442-8853
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22254
AL
183500000X
Pharmacist
Primary
RPH033423
GA
390200000X
Student in an Organized Health Care Education/Training Program
S12398
AL
Other
Enumeration date
01/17/2019
Last updated
12/23/2022
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