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NPI Code Detail

MEDICARE: MR. GLENN MORGAN RPH

MEDICARE: MR. GLENN MORGAN 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
1183500000XPharmacist15724AL
2183500000XPharmacistRPH010165GA

General Provider Information

NPI Number : 1396014312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GLENN MORGAN RPH
Provider Business Mailing Address
First Line : 8132 CASTLEHILL RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-7228
Country : US
Telephone Number : 205-995-0278
Fax Number :
Provider Business Practice Location Address
First Line : 101 DOUG BAKER BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-2675
Country : US
Telephone Number : 205-437-9467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2011
Last Update Date : 12/20/2011

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