Individual
MR. H PHILLIP GLAZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PH
Contact information
Practice address
921 OLD MILL RUN, ORMOND BEACH, FL 32174-6160
(386) 677-0215
Mailing address
921 OLD MILL RUN, ORMOND BEACH, FL 32174-6160
(386) 677-0215
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PU 1438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS14502
FLORIDA PHARMACY LIC NUMBER
FL
01
—
PU 1438
FLORIDA CONSULTAMT PHARMACY LICENSEE
FL
01
—
RPH011308
GEORGIA PHARMACY LIC. NUMBER
GA
Enumeration date
07/11/2008
Last updated
07/11/2008
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