Individual
MR. BEN GLIDEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1900 W SUNSHINE ST, SPRINGFIELD, MO 65807-2240
(417) 837-1757
(471) 874-1612
Mailing address
1900 W SUNSHINE ST, SPRINGFIELD, MO 65807-2240
(417) 837-1757
(471) 874-1612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10151
OK
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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