MEDICARE: CAROL GLORIOSO 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
1	183500000X	Pharmacist	020270	TX

General Provider Information

NPI Number	:	1487945432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL GLORIOSO RPH

Provider Business Mailing Address
First Line	:	34 WOODMOOR DR
Second Line	:
City	:	LUCAS
State	:	TX
Zip	:	75002
Country	:	US
Telephone Number	:	972-740-1180
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 WOODMOOR DR
Second Line	:
City	:	LUCAS
State	:	TX
Zip	:	75002
Country	:	US
Telephone Number	:	972-740-1180
Fax Number	:

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

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	04/26/2011

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Directions to “ CAROL GLORIOSO RPH” Practice Location

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