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Individual

GLEN E SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH, CIP

Contact information

Practice address
800 STONYBROOK LN, LEWISBERRY, PA 17339-8919
(717) 932-0212
Mailing address
800 STONYBROOK LN, LEWISBERRY, PA 17339-8919
(717) 932-0212

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP443480
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP443480
RPH LICENSE
PA
01
RPI006276
IMMUNIZATION NUMBER
PA
Enumeration date
06/02/2013
Last updated
06/02/2013
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