MEDICARE: MR. GLENN R RECH R.PH

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
1	1835P1200X	Pharmacotherapy Pharmacist	03113538	OH

General Provider Information

NPI Number	:	1467446971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GLENN R RECH R.PH

Provider Business Mailing Address
First Line	:	929 KING GEORGE BLVD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3407
Country	:	US
Telephone Number	:	216-410-1613
Fax Number	:

Provider Business Practice Location Address
First Line	:	2351 E 22ND ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-3111
Country	:	US
Telephone Number	:	216-861-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	07/08/2007

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Directions to “ MR. GLENN R RECH R.PH” Practice Location

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