Glenn Daniel Roberts, RPH

NPI #1891829677 in Tchula, Mississippi

Provider Information

NPI Number: 1891829677
Entity Type: Individual
Name: Glenn Daniel Roberts, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 15, 2007
Last Updated: May 30, 2017

Practice Location

Address: 112 MERCER ST
City: Tchula
State: Mississippi
ZIP Code: 39169
Phone: (662) 235-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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