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NPI Code Detail

MEDICARE: MRS. CHRISTINE MARIE GLOVER PHARMD

MEDICARE: MRS. CHRISTINE MARIE GLOVER PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18273NV

General Provider Information

NPI Number : 1295090108
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE MARIE GLOVER PHARMD
Provider Business Mailing Address
First Line : 475 E WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1808
Country : US
Telephone Number : 702-896-7414
Fax Number :
Provider Business Practice Location Address
First Line : 475 E WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1808
Country : US
Telephone Number : 702-896-7414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2012
Last Update Date : 05/20/2015

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Directions to “ MRS. CHRISTINE MARIE GLOVER PHARMD” Practice Location

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