Healthcare Provider Details

I. General information

NPI: 1801202965
Provider Name (Legal Business Name): BRIANNA GLYNN-SERVEDIO PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 SUNGATE BLVD
RALEIGH NC
27610-2871
US

IV. Provider business mailing address

3212 ENCHANTING WAY
RALEIGH NC
27616-8372
US

V. Phone/Fax

Practice location:
  • Phone: 919-212-0129
  • Fax: 919-255-1540
Mailing address:
  • Phone: 908-601-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24231
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number24231
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: