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NPI Code Detail

MEDICARE: GLENN CAIN RPH

MEDICARE: GLENN CAIN RPH
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
1183500000XPharmacistRPHS008905AZ
2183500000XPharmacistRPH47764CA
3183500000XPharmacist09807NV

General Provider Information

NPI Number : 1184027385
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN CAIN RPH
Provider Business Mailing Address
First Line : 581 BAY ST
Second Line :
City : PISMO BEACH
State : CA
Zip : 93449-2301
Country : US
Telephone Number : 805-773-8760
Fax Number :
Provider Business Practice Location Address
First Line : 1995 W HIGHWAY 89A
Second Line :
City : SEDONA
State : AZ
Zip : 86336-5531
Country : US
Telephone Number : 928-282-3903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2014
Last Update Date : 10/01/2014

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Directions to “ GLENN CAIN RPH” Practice Location

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