Healthcare Provider Details

I. General information

NPI: 1720102478
Provider Name (Legal Business Name): CHRISTINE A GLUCH R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 05/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465-15 WEST BROAD STREET
QUAKERTOWN PA
18951
US

IV. Provider business mailing address

306 COLETTES CT
NORTH WALES PA
19454-2035
US

V. Phone/Fax

Practice location:
  • Phone: 215-536-7651
  • Fax: 215-538-7639
Mailing address:
  • Phone: 215-368-8675
  • Fax: 215-538-7639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP037413L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: