Individual
DR. GLENN DWIGHT SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3125 COMMERCE PKWY, MIRAMAR, FL 33025-3944
(954) 632-7256
Mailing address
3125 COMMERCE PKWY, MIRAMAR, FL 33025-3944
(954) 632-7256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS46775
FL
1835N1003X
Nutrition Support Pharmacist
Primary
PS46775
FL
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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