DR. Glenn Roy Antle

NPI #1194199182 in Weston, Florida

Provider Information

NPI Number: 1194199182
Entity Type: Individual
Name: DR. Glenn Roy Antle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 14, 2015
Last Updated: Nov 14, 2015

Practice Location

Address: 586 SPINNAKER
City: Weston
State: Florida
ZIP Code: 33326-2942
Phone: (954) 218-5584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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