Individual
CHASE ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12550 US HIGHWAY 90, GRAND BAY, AL 36541-5609
(251) 865-1429
Mailing address
1773 POPPS FERRY RD APT G37, BILOXI, MS 39532-2273
(601) 270-5497
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
22559
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802515235
MS DRIVER'S LICENSE
MS
Enumeration date
07/07/2022
Last updated
07/07/2022
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