Glen M Mathis, RPH

NPI #1942229679 in Girard, Kansas

Provider Information

NPI Number: 1942229679
Entity Type: Individual
Name: Glen M Mathis, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 19, 2006
Last Updated: Sep 29, 2020

Practice Location

Address: 400 W SAINT JOHN ST
City: Girard
State: Kansas
ZIP Code: 66743-1213
Phone: (620) 724-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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