Individual
DR. GLENN PAUL SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4514 OLD MONROE RD STE A, INDIAN TRAIL, NC 28079-5308
(704) 301-4651
Mailing address
1008 KINGS BOTTOM DR, FORT MILL, SC 29715-7601
(704) 301-4651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23348
NC
Other
Enumeration date
07/23/2013
Last updated
01/19/2023
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