Individual
MS. LACINDA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
600 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-2715
(334) 347-2199
(334) 347-3095
Mailing address
106 DEE RD, OPP, AL 36467-2549
(334) 379-6135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12790
AL
Other
Enumeration date
06/10/2017
Last updated
06/10/2017
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