Individual
MR. SAMUEL STEPHEN GLENN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2627 S MAIN ST, ANDERSON, SC 29624-3241
(864) 225-3119
(864) 225-0411
Mailing address
16 SECRETARIAT WAY, GREENVILLE, SC 29615-6020
(864) 675-9256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3964
SC
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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