MR. Glenn E Otterman JR., RPH

NPI #1275819039 in San Mateo, California

Provider Information

NPI Number: 1275819039
Entity Type: Individual
Name: MR. Glenn E Otterman JR., RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 25, 2011
Last Updated: May 7, 2013

Practice Location

Address: 222 W 39TH AVE
Address 2: SAN MATEO MEDICAL CENTER
City: San Mateo
State: California
ZIP Code: 94403-4364
Phone: (650) 573-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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