Healthcare Provider Details

I. General information

NPI: 1891841730
Provider Name (Legal Business Name): GLENN THOMAS HUTH R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WABASH AVE
AKRON OH
44307-2433
US

IV. Provider business mailing address

920 MEADOWOOD DR
BARBERTON OH
44203-8672
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-6215
  • Fax: 330-996-2395
Mailing address:
  • Phone: 330-344-6215
  • Fax: 330-996-2395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-3-21634
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: